Organization
HEARTFELT MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE MBULA MUTUNGA FNP (CEO)
(913) 660-5365
Entity
Organization
Contact information
Practice address
10810 W 75TH ST, SHAWNEE, KS 66214-1184
(913) 660-5365
(913) 660-5365
Mailing address
9743 SHADY BEND CIR, LENEXA, KS 66227-7326
(913) 424-2446
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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