| Wellspring Regenerative Health, Llc | |
|
13160 State Line Rd Leawood KS 66209-1708 | |
| (816) 651-7813 | |
| Not Available |
| Full Name | Wellspring Regenerative Health, Llc |
|---|---|
| Speciality | General Practice |
| Location | 13160 State Line Rd, Leawood, Kansas |
| Authorized Official Name and Position | Anthony Breen (NURSE PRACTITIONER) |
| Authorized Official Contact | 8166517813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Regenerative Health, Llc 12120 State Line Rd # 125 Leawood KS 66209-1254 Ph: () - | Wellspring Regenerative Health, Llc 13160 State Line Rd Leawood KS 66209-1708 Ph: (816) 651-7813 |
| NPI Number | 1407681687 |
|---|---|
| Provider Enumeration Date | 09/05/2024 |
| Last Update Date | 09/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407681687 | NPI | - | NPPES |
| 1407567068 | Medicaid | MO | |
| 1851823694 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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