Provider Demographics
NPI:1841587813
Name:REMEDY SLEEP MEDICINE, LLC
Entity Type:Organization
Organization Name:REMEDY SLEEP MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:GUILLAUME
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FAASM
Authorized Official - Phone:913-777-0077
Mailing Address - Street 1:15621 W 87TH ST
Mailing Address - Street 2:SUITE 221
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66219-1435
Mailing Address - Country:US
Mailing Address - Phone:913-777-0077
Mailing Address - Fax:877-796-6309
Practice Address - Street 1:8625 COLLEGE BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1835
Practice Address - Country:US
Practice Address - Phone:913-777-0077
Practice Address - Fax:877-796-6309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-29
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-28951207QS1201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSDR9141OtherRR MEDICARE
KS100315180GMedicaid
KSKA2274Medicare PIN
KSG33373Medicare UPIN
KSDR9141OtherRR MEDICARE