OrganizationActive
Living Well Medical Center
NPI 1134460165 · General Practice Physician · Overland Park, KS
Provider details
- NPI number
- 1134460165
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stephanie Conger, Credentialing Manager(615) 357-0586
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9150 Glenwood St
Overland Park, KS 66212-1364
Phone: (913) 341-9797
Approximate (ZIP-level) locationGet directions
Mailing address
9150 Glenwood St
Overland Park, KS 66212-1364
Registry dates
- Enumerated
- 2013-03-15
- Last updated
- 2013-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.