Healthcare Provider Details

I. General information

NPI: 1003480203
Provider Name (Legal Business Name): JAMES O'HARA FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2021
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14400 COLLEGE BLVD
LENEXA KS
66215-2063
US

IV. Provider business mailing address

14400 COLLEGE BLVD
LENEXA KS
66215-2063
US

V. Phone/Fax

Practice location:
  • Phone: 913-356-1007
  • Fax:
Mailing address:
  • Phone: 913-356-1007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number80834
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: