Healthcare Provider Details

I. General information

NPI: 1134081953
Provider Name (Legal Business Name): RAYNOR MEDICAL CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 S CLAIRBORNE RD STE 201
OLATHE KS
66062-1744
US

IV. Provider business mailing address

407 S CLAIRBORNE RD STE 201
OLATHE KS
66062-1744
US

V. Phone/Fax

Practice location:
  • Phone: 816-603-2315
  • Fax:
Mailing address:
  • Phone: 816-603-2315
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EDWARD M KARANJA
Title or Position: OWNER
Credential: APRN
Phone: 316-308-5415