Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 0427357 | KS |
NPI | 1376530683 |
---|---|
Provider Name | Dr. Sean M Wheeler |
First Address | Overland Park, KS 66210-2742 |
Second Address | Overland Park, KS 66210-2761 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2005 |
Last Update Date | 08/02/2022 |