Individual
NIORN KEONIN NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
15100 W 87TH ST, LENEXA, KS 66219-1420
(913) 485-2229
Mailing address
16008 GRANDVIEW ST, OVERLAND PARK, KS 66085-7829
(913) 485-2229
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
45673
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200420060A
—
KS
Enumeration date
02/27/2007
Last updated
12/27/2019
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