Healthcare Provider Details

I. General information

NPI: 1104730662
Provider Name (Legal Business Name): CASEY LEIGH BYRNE-BILLUPS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 S CHERRYWOOD CIR
ANDOVER KS
67002-8898
US

IV. Provider business mailing address

710 S CHERRYWOOD CIR
ANDOVER KS
67002-8898
US

V. Phone/Fax

Practice location:
  • Phone: 316-871-9288
  • Fax:
Mailing address:
  • Phone: 316-871-9288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number13-129938-011
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: