Supplier Application2019-06-24T19:19:05+00:00

Supplier Application

To be accepted your application must include:

  • Complete and accurate information
  • Valid NPI #
  • Valid company email address (If you have filled out an application in the past, you must provide a separate email for this new application)

Once application is completed our team will reach out within the next 24 hours.

Business Development Team


Toni De Lanoy
(913) 356-1314


Greg Schreck
(913) 356-1313

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