Healthcare Provider Details

I. General information

NPI: 1003730870
Provider Name (Legal Business Name): WOMEN'S AND CHILDREN'S HEALTH KS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

14400 METCALF AVE # 1
OVERLAND PARK KS
66223-2989
US

IV. Provider business mailing address

4701 SANGAMORE RD STE N100
BETHESDA MD
20816-2558
US

V. Phone/Fax

Practice location:
  • Phone: 929-554-8289
  • Fax:
Mailing address:
  • Phone: 929-554-8289
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ISABELLE VON KOHORN
Title or Position: CHIEF MEDICAL OFFICER
Credential:
Phone: 914-919-9200