1457686222 NPI number — MRS. KEELY SUE LANOUE ARNP, OCN

Table of content: MRS. KEELY SUE LANOUE ARNP, OCN (NPI 1457686222)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457686222 NPI number — MRS. KEELY SUE LANOUE ARNP, OCN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LANOUE
Provider First Name:
KEELY
Provider Middle Name:
SUE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
ARNP, OCN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HOTCHKISS
Provider Other First Name:
KEELY
Provider Other Middle Name:
SUE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN, BSN, OCN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1457686222
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/12/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4017 W 73RD TER
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PRAIRIE VILLAGE
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66208-2934
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-588-9287
Provider Business Mailing Address Fax Number:
913-588-4720

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2330 SHAWNEE MISSION PKWY
Provider Second Line Business Practice Location Address:
MAIL STOP 5024
Provider Business Practice Location Address City Name:
WESTWOOD
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66205-2005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-588-9287
Provider Business Practice Location Address Fax Number:
913-588-4720
Provider Enumeration Date:
10/12/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  53-75010-102 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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