| Organization Name: | KANSAS APRN SERVICES, LLC |
| NPI Number: | 1053742643 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LANCE A VICKERY (OWNER) |
| Mailing Address: | 17985 S Lone Elm Rd Olathe |
| State: | KS US |
| Postal Code: | 660629253 |
| Phone Number: | 8165000487 |
| Fax Number: | |
| NPI Enumeration Date: | 12/06/2013 |
| NPI Last Update Date: | 12/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 13-87373-111 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |