Edmonds, Larissa R
Edmonds, Larissa R is an individual health care provider with primary practice located at 20805 W 151St St Suite 400, Olathe KS 66061-7249. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Edmonds, Larissa R can be contacted via phone (913) 780-4900.Contact Information
Primary practice address
20805 W 151St St Suite 400
Olathe KS 66061-7249
Phone: (913) 780-4900
Fax: (913) 780-0949
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 53-76087-022 | Kansas |
Profile Details
| NPI number | 1467868133 |
|---|---|
| LBN Legal business name | Edmonds, Larissa R |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2014 |
| Last updated | Aug 26th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467868133 | NPPES |
| Kansas | MEDICAID | 201097910A |
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