Healthcare Provider Details

I. General information

NPI: 1790758274
Provider Name (Legal Business Name): BARBARA W ADKINS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12200 W 110TH ST
OVERLAND PARK KS
66210-4045
US

IV. Provider business mailing address

9200 INDIAN CREEK PKWY BUILDING 9; SUITE 300
OVERLAND PARK KS
66210-2002
US

V. Phone/Fax

Practice location:
  • Phone: 913-234-0400
  • Fax:
Mailing address:
  • Phone: 913-541-4673
  • Fax: 913-577-5873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number74240
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: