Kjk Wellness LLC
NPI 1013763382ActiveOrganization· Nurse Practitioner, Family· Olathe, KS
Nurse Practitioner, Family in Olathe, Kansas, registered in NPPES in April 2024. The authorized official on file is Kristy M. Provence, APRN-C, Owne/Nurse Practitioner.
Overview
| NPI | 1013763382 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 27, 2024 |
| Last updated in NPPES | May 25, 2026 |
| Certified by provider | May 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Registered Nurse, Wound Care | 163WW0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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