Provider Demographics
NPI:1700532074
Name:VARGHESE, BINNY VATTENKALAYIL (DNP FNP BC)
Entity Type:Individual
Prefix:DR
First Name:BINNY
Middle Name:VATTENKALAYIL
Last Name:VARGHESE
Suffix:
Gender:M
Credentials:DNP FNP BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15391 W 158TH TER
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-6379
Mailing Address - Country:US
Mailing Address - Phone:913-390-1119
Mailing Address - Fax:
Practice Address - Street 1:5100 W 110TH ST STE 200
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1215
Practice Address - Country:US
Practice Address - Phone:913-449-1297
Practice Address - Fax:913-906-2339
Is Sole Proprietor?:No
Enumeration Date:2022-02-25
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022008235363L00000X
KS5380923112363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner