Provider Information for 1215166731
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Mr. BRYAN E VIGNERY LPC
Sex: Male
NPI: 1215166731
Last Updated: 2024-02-09
Certification Date: 2024-02-09
Certification Date: 2024-02-09
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1215166731 | ||||||||||||||||
| Enumeration Date | 2009-07-06 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 16950 S PENROSE LN OLATHE, KS 66062-8125 United States Phone: 913-568-8276 | Fax: | ||||||||||||||||
| Primary Practice Address | 11261 STRANG LINE RD LENEXA, KS 66215 United States Phone: 913-568-8276 | Fax:913-696-1403 | ||||||||||||||||
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