Healthcare Provider Details

I. General information

NPI: 1730833252
Provider Name (Legal Business Name): VICTOR MAURICE DOWNING JR. FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2022
Last Update Date: 01/20/2026
Certification Date: 01/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16990 W 86TH ST STE 100
LENEXA KS
66219-4506
US

IV. Provider business mailing address

16990 W 86TH ST STE 100
LENEXA KS
66219-4506
US

V. Phone/Fax

Practice location:
  • Phone: 913-676-8400
  • Fax: 913-599-1692
Mailing address:
  • Phone: 913-676-8400
  • Fax: 913-599-1692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number80683
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: