Healthcare Provider Details

I. General information

NPI: 1306774922
Provider Name (Legal Business Name): KS WOMENS HEALTH CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 S ANDOVER RD STE E
ANDOVER KS
67002-8055
US

IV. Provider business mailing address

215 S ANDOVER RD STE E
ANDOVER KS
67002-8055
US

V. Phone/Fax

Practice location:
  • Phone: 316-247-0402
  • Fax: 833-740-4472
Mailing address:
  • Phone: 316-247-0402
  • Fax: 833-455-6661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JODY BUCHANAN
Title or Position: OWNER, APRN
Credential: APRN, WHNP-BC, MSCP
Phone: 316-247-0402