Provider Demographics
NPI:1740439355
Name:KANSAS CITY HEALTH & WELLNESS CLINIC, PA
Entity type:Organization
Organization Name:KANSAS CITY HEALTH & WELLNESS CLINIC, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-393-2222
Mailing Address - Street 1:10074 WOODLAND RD
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66220-3802
Mailing Address - Country:US
Mailing Address - Phone:913-393-2222
Mailing Address - Fax:913-393-2227
Practice Address - Street 1:10074 WOODLAND RD
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66220-3802
Practice Address - Country:US
Practice Address - Phone:913-393-2222
Practice Address - Fax:913-393-2227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-18
Last Update Date:2012-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS05-295382081N0008X
KS11-01788225100000X
KS01-05065111N00000X
KS05-35619207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No2081N0008XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationNeuromuscular MedicineGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty