Jenalee Marie Mahoney, ND
Individual provider Active NPI Naturopath · Overland Park, KS
NPI 1023733748 · NPPES record last updated Oct 5, 2022
Key facts
- NPI
- 1023733748
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- Practice address
- 11791 W 112TH St Ste 100
Overland Park, KS 66210-2755 - Phone
- (913) 214-6536
- NPI assigned
- Oct 5, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | Yes |
Addresses
Primary practice location
11791 W 112TH St Ste 100
Overland Park, KS 66210-2755
Mailing address
2134 Munjor Rd
Victoria, KS 67671-9619
Phone (785) 766-3453
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.