Healthcare Provider Details

I. General information

NPI: 1780505974
Provider Name (Legal Business Name): KANSAS CITY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6355 W 110TH ST
OVERLAND PARK KS
66211-1509
US

IV. Provider business mailing address

6355 W 110TH ST
OVERLAND PARK KS
66211-1509
US

V. Phone/Fax

Practice location:
  • Phone: 913-340-8778
  • Fax: 913-340-9449
Mailing address:
  • Phone: 913-340-8778
  • Fax: 913-340-9449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW NITSCH
Title or Position: NURSE PRACTITIONER
Credential: NP
Phone: 913-340-8778