Healthcare Provider Details

I. General information

NPI: 1316377500
Provider Name (Legal Business Name): IM CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2013
Last Update Date: 10/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8836 INKSTER ST
LENEXA KS
66227-7500
US

IV. Provider business mailing address

11124 S AMINDA ST
OLATHE KS
66061-7132
US

V. Phone/Fax

Practice location:
  • Phone: 913-953-0347
  • Fax:
Mailing address:
  • Phone: 913-953-0347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number04-33114
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number04-33114
License Number StateKS

VIII. Authorized Official

Name: DR. ANGELA GARNER
Title or Position: OWNER
Credential: MD
Phone: 913-953-0347