Provider Demographics
NPI:1891033031
Name:EVANS, AIMEE L
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:L
Last Name:EVANS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8042 MOHAWK ST
Mailing Address - Street 2:# 201
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-5127
Mailing Address - Country:US
Mailing Address - Phone:816-352-3547
Mailing Address - Fax:
Practice Address - Street 1:8042 MOHAWK ST
Practice Address - Street 2:# 201
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-5127
Practice Address - Country:US
Practice Address - Phone:816-352-3547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-23
Last Update Date:2013-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator