Provider Demographics
NPI:1457686222
Name:LANOUE, KEELY SUE (ARNP, OCN)
Entity Type:Individual
Prefix:MRS
First Name:KEELY
Middle Name:SUE
Last Name:LANOUE
Suffix:
Gender:F
Credentials:ARNP, OCN
Other - Prefix:MS
Other - First Name:KEELY
Other - Middle Name:SUE
Other - Last Name:HOTCHKISS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN, OCN
Mailing Address - Street 1:4017 W 73RD TER
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-2934
Mailing Address - Country:US
Mailing Address - Phone:913-588-9287
Mailing Address - Fax:913-588-4720
Practice Address - Street 1:2330 SHAWNEE MISSION PKWY
Practice Address - Street 2:MAIL STOP 5024
Practice Address - City:WESTWOOD
Practice Address - State:KS
Practice Address - Zip Code:66205-2005
Practice Address - Country:US
Practice Address - Phone:913-588-9287
Practice Address - Fax:913-588-4720
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-12
Last Update Date:2009-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-75010-102363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily