Healthcare Provider Details

I. General information

NPI: 1679614838
Provider Name (Legal Business Name): PLANNED PARENTHOOD GREAT PLAINS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 10/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 EMANUEL CLEAVER II BLVD
KANSAS CITY MO
64110-1687
US

IV. Provider business mailing address

4401 W 109TH ST SUITE 200
OVERLAND PARK KS
66211-1303
US

V. Phone/Fax

Practice location:
  • Phone: 816-756-2277
  • Fax: 816-756-0611
Mailing address:
  • Phone: 913-312-5100
  • Fax: 913-312-3171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. SU LIM
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 913-312-5100