EMPOWER PREVENTIVE CARE PA NPI 1124897905

NPI Information

  • NPI: 1124897905
  • Provider Name: EMPOWER PREVENTIVE CARE PA
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 17D2303312
  • Address: 5701 W 119TH ST STE 220
    OVERLAND PARK, KS
    ZIP 66209
  • Phone: (913) 948-6400

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NPI Details

EMPOWER PREVENTIVE CARE PA is a primary care clinic center in Overland Park, KS. EMPOWER PREVENTIVE CARE PA NPI is 1124897905. The provider is registered as an organization entity type.

The provider's business location address is:

5701 W 119TH ST STE 220
OVERLAND PARK, KS
ZIP 66209-721
Phone: (913) 948-6400
Fax: (913) 948-6499

The provider's authorized official is Linda A Kelly .
The authorized official title is Business Manager and has the following contact phone number (816) 520-7748.

The CLIA number assigned to this NPI record is 17D2303312 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/21/2023 and was last updated on 12/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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