Kenneth Joseph Kooser, LMFT 03643-T | |
1221 N Rock Rd, Derby, KS 67037-3678 | |
(316) 789-8511 | |
Not Available |
Full Name | Kenneth Joseph Kooser |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 1221 N Rock Rd, Derby, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831916048 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 03643-T (Kansas) | Primary |
Entity Name | County Of Sedgwick |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629281373 PECOS PAC ID: 2961304779 Enrollment ID: O20040122000873 |
Mailing Address | Practice Location Address |
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Kenneth Joseph Kooser, LMFT 03643-T 1431 E Woodbrook Ct, Derby, KS 67037-9713 Ph: (316) 518-4495 | Kenneth Joseph Kooser, LMFT 03643-T 1221 N Rock Rd, Derby, KS 67037-3678 Ph: (316) 789-8511 |
Amy Meek, MS, LCMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 606 Mulberry Rd, Derby, KS 67037 Phone: 316-788-4335 Fax: 316-262-7202 | |
Randi Black, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1121 N College Park St Ste 200, Derby, KS 67037 Phone: 316-351-8517 Fax: 316-260-6494 | |
Shonda L Kooser, T-MFT 03519-T Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1221 N Rock Rd, Derby, KS 67037 Phone: 316-789-8511 | |
Amber Harris, LCMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1033 N Buckner St, 206, Derby, KS 67037 Phone: 316-789-8511 Fax: 316-789-8511 | |
Mrs. Cristinette Likiardopoulos, T-LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 215 E Madison Ave, Derby, KS 67037 Phone: 316-530-2963 | |
Mrs. Mallory Lynn Baum, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 606 N. Mulberry, Derby, KS 67037 Phone: 316-788-6464 Fax: 206-299-1262 | |
Cynthia S George, Couples Therapy Medicare: Medicare Enrolled Practice Location: 1415 N Buckner St, Derby, KS 67037 Phone: 316-788-6464 |