Healthcare Provider Details

I. General information

NPI: 1740952027
Provider Name (Legal Business Name): UMLC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2021
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

940 N TYLER RD STE 100
WICHITA KS
67212
US

IV. Provider business mailing address

6025 METCALF LN STE 200
OVERLAND PARK KS
66202-2339
US

V. Phone/Fax

Practice location:
  • Phone: 316-364-3030
  • Fax: 913-499-8237
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LOANNA HALCOMB
Title or Position: CHIEF OPERATIONS OFFICER
Credential:
Phone: 913-499-8103