Healthcare Provider Details

I. General information

NPI: 1841070661
Provider Name (Legal Business Name): GEORGIA JANEEN BELLER STRONG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GEORGIA GUNTER

II. Dates (important events)

Enumeration Date: 09/29/2023
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 W 74TH ST STE 100
SHAWNEE MISSION KS
66204-2201
US

IV. Provider business mailing address

8908 W 102ND ST
OVERLAND PARK KS
66212-4233
US

V. Phone/Fax

Practice location:
  • Phone: 913-491-4020
  • Fax:
Mailing address:
  • Phone: 816-341-0156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberTMP-162013
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: