GULLEDGE FAMILY WELLNESS LLC NPI 1730413204

NPI Information

  • NPI: 1730413204
  • Provider Name: GULLEDGE FAMILY WELLNESS, LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 11879 W 112TH ST
    SUITE 100
    OVERLAND PARK, KS
    ZIP 66210
  • Phone: (913) 338-1112

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NPI Details

GULLEDGE FAMILY WELLNESS, LLC is a clinic center in Overland Park, KS. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). GULLEDGE FAMILY WELLNESS, LLC NPI is 1730413204. The provider is registered as an organization entity type.

The provider's business location address is:

11879 W 112TH ST
SUITE 100
OVERLAND PARK, KS
ZIP 66210-725
Phone: (913) 338-1112
Fax: (913) 338-2079

The provider's authorized official is Kyle V. Gulledge .
The authorized official title is Member and has the following contact phone number (913) 338-1112.

The enumeration date for this NPI number is 9/30/2009 and was last updated on 1/3/2011.

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
1261Q00000XClinic/Center4346490KANSASYes

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: 3/30/2025

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