Healthcare Provider Details

I. General information

NPI: 1841587813
Provider Name (Legal Business Name): REMEDY SLEEP MEDICINE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2011
Last Update Date: 02/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8625 COLLEGE BLVD SUITE 103
OVERLAND PARK KS
66210-1835
US

IV. Provider business mailing address

15621 W 87TH ST SUITE 221
LENEXA KS
66219-1435
US

V. Phone/Fax

Practice location:
  • Phone: 913-777-0077
  • Fax: 877-796-6309
Mailing address:
  • Phone: 913-777-0077
  • Fax: 877-796-6309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number04-28951
License Number StateKS

VIII. Authorized Official

Name: CAROLE A. GUILLAUME
Title or Position: OWNER
Credential: MD, FAASM
Phone: 913-777-0077