Healthcare Provider Details

I. General information

NPI: 1558290890
Provider Name (Legal Business Name): AUDREY OHLMAN
Entity Type: Individual
Gender:
Sole Proprietor: Y

Provider Other Name: AUDREY PARRA

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4061 INDIAN CREEK PKWY STE 200
OVERLAND PARK KS
66207-4030
US

IV. Provider business mailing address

4061 INDIAN CREEK PKWY
OVERLAND PARK KS
66207-4030
US

V. Phone/Fax

Practice location:
  • Phone: 913-317-7990
  • Fax: 913-317-7018
Mailing address:
  • Phone: 913-317-7990
  • Fax: 913-317-7018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2026031357
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number85801
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: