Provider Demographics
NPI:1932901592
Name:HEROES HEALTH AND WELLNESS LLC
Entity type:Organization
Organization Name:HEROES HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:GENEVIEVE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:KILGEN-HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:316-210-3598
Mailing Address - Street 1:1526 N GRAYSTONE ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67230-7247
Mailing Address - Country:US
Mailing Address - Phone:316-210-3598
Mailing Address - Fax:
Practice Address - Street 1:1526 N GRAYSTONE ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67230-7247
Practice Address - Country:US
Practice Address - Phone:316-210-3598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty