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General NPI Number Information
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NPI Number | 1073409058
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Entity Type | Organization
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Legal Business Name | PARKWAY HOME PLUS LLC
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 9999 NALL AVE
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City | OVERLAND PARK
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State | KS
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Zip | 66207-2917
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Country | US
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Telephone | 316-452-3102
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Fax | 913-355-0154
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Provider Business Mailing Address
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Address Line | 9999 NALL AVE
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City | OVERLAND PARK
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State | KS
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Zip | 66207-2917
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Country | US
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Telephone | 316-452-3102
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Fax | 913-355-0154
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. DAVID KIMANI
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Credential | DNP-FNP
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Telephone | 316-251-2548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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