Healthcare Provider Details

I. General information

NPI: 1831907252
Provider Name (Legal Business Name): SEASON HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2024
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 S EMPORIA AVE STE 103
WICHITA KS
67202-4534
US

IV. Provider business mailing address

535 S EMPORIA AVE STE 103
WICHITA KS
67202-4534
US

V. Phone/Fax

Practice location:
  • Phone: 316-841-6861
  • Fax: 316-854-9673
Mailing address:
  • Phone: 316-841-6861
  • Fax: 316-854-9673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name: STACEY V EASON
Title or Position: MEMBER LLC
Credential: APRN
Phone: 316-841-6861