KJK Wellness LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

KJK WELLNESS LLC

Doing business as

Heartland Wound and Urgent Care

Practice address

801 N Mur Len Rd Ste 104B
Olathe, KS 66062-1794

Phone

(913) 207-5089

Fax

(913) 273-1094

NPI assigned

Apr 27, 2024

Last updated

May 25, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kristy M Provence, APRN-CNPI 1346018686

Title

Owne/Nurse Practitioner

Phone

(913) 207-5089

Specialties & licenses 2

Addresses

Other names 2

• Heartland Wound and Urgent Care Doing business as
• KJK Wellness LLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristy Provence, APRN, BSN, WCC

  • Family Nurse Practitioner
  • Gardner, KS
  • NPI 1346018686
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779667200000",
    "number": "1013763382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N MUR LEN RD STE 104B",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621794",
            "telephone_number": "913-207-5089",
            "fax_number": "913-273-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N MUR LEN RD STE 104B",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621794",
            "telephone_number": "913-207-5089",
            "fax_number": "913-273-1094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15845 Gardner West Rd",
            "address_purpose": "LOCATION",
            "city": "Gardner",
            "state": "KS",
            "postal_code": "660309507",
            "country_code": "US",
            "telephone_number": "913-207-5089",
            "fax_number": "913-273-1094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KJK WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-27",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A",
        "authorized_official_last_name": "PROVENCE",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNE/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "913-207-5089",
        "authorized_official_credential": "APRN-C"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Wound and Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heartland Wound and Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KJK Wellness LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kirit S Patel MD Chartered
• Anita Kish, P.A.
• Conner Kitrell, COTA
• Jena Louise Kittle, D.C.
• Courtney Brooke Kivett, LMSW
• Leland Wayne Klaassen, D.D.S.
• Marguerite Patricia-'Pat' Klasinski, L.S.C.S.W.
• Olesya Kleyn
• Kristina Michelle Kline, CRNA
• Natasha Klutts, LSCSW

• Family Nurse Practitioner in Olathe, KS
• Providers in Olathe, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.