MEDICARE: KADY WERNER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1103497	OTHER	KS	LICENSE #

General Provider Information

NPI Number	:	1346359759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KADY WERNER

Provider Business Mailing Address
First Line	:	13994 W 147TH TER
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66062-5043
Country	:	US
Telephone Number	:	913-782-5768
Fax Number	:

Provider Business Practice Location Address
First Line	:	1701 S 45TH ST
Second Line	:	SUITE A
City	:	KANSAS CITY
State	:	KS
Zip	:	66106-2527
Country	:	US
Telephone Number	:	913-281-5121
Fax Number	:	913-371-6811

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	08/30/2023

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Directions to “ KADY WERNER ” Practice Location

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