MEDICARE: AIMEE L EVANS

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1891033031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AIMEE L EVANS

Provider Business Mailing Address
First Line	:	8042 MOHAWK ST
Second Line	:	# 201
City	:	PRAIRIE VILLAGE
State	:	KS
Zip	:	66208-5127
Country	:	US
Telephone Number	:	816-352-3547
Fax Number	:

Provider Business Practice Location Address
First Line	:	8042 MOHAWK ST
Second Line	:	# 201
City	:	PRAIRIE VILLAGE
State	:	KS
Zip	:	66208-5127
Country	:	US
Telephone Number	:	816-352-3547
Fax Number	:

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

Provider Enumeration Date	:	01/23/2013
Last Update Date	:	02/10/2013

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Directions to “ AIMEE L EVANS ” Practice Location

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