Gulledge Family Wellness, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

4346490 Issued in KS

Legal business name

GULLEDGE FAMILY WELLNESS, LLC

Practice address

11879 W 112TH St
Suite 100
Overland Park, KS 66210-2725

Phone

(913) 338-1112

Fax

(913) 338-2079

NPI assigned

Sep 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kyle V. Gulledge, DCNPI 1336372887

Title

Member

Phone

(913) 338-1112

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyle Vincent Gulledge, D.C.

  • Chiropractor
  • Overland Park, KS
  • NPI 1336372887
  NPD (past) Authorized official

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1730413204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11879 W 112TH ST",
            "address_2": "SUITE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102725",
            "telephone_number": "913-338-1112",
            "fax_number": "913-338-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11879 W 112TH ST",
            "address_2": "SUITE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102725",
            "telephone_number": "913-338-1112",
            "fax_number": "913-338-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULLEDGE FAMILY WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "GULLEDGE",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "913-338-1112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KS",
            "license": "4346490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Guillen, MD
• Hannah Guillies
• Cody Guinn
• Gulledge Family Wellness P.a.
• Gulledge Family Wellness PA
• David Lauchlin Gulledge, D.C.
• Kyle Vincent Gulledge, D.C.
• Shirin Moshiri Gulledge, D.C.
• Natalie R Gulley, PT
• Casey Gum, MA, LCPC, NCC

• Clinic/Center in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.