| Beth Owens Llc | |
|
8100 E 22nd St N Ste 1600-b Wichita KS 67226-2321 | |
| (316) 201-6424 | |
| (316) 201-6428 |
| Full Name | Beth Owens Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8100 E 22nd St N Ste 1600-b, Wichita, Kansas |
| Authorized Official Name and Position | Bethany Owens (PROVIDER) |
| Authorized Official Contact | 3162506815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beth Owens Llc 8100 E 22nd St N Ste 1600-b Wichita KS 67226-2321 Ph: (316) 201-6424 | Beth Owens Llc 8100 E 22nd St N Ste 1600-b Wichita KS 67226-2321 Ph: (316) 201-6424 |
| NPI Number | 1972196830 |
|---|---|
| Provider Enumeration Date | 02/11/2021 |
| Last Update Date | 07/12/2021 |
| Certification Date | 07/12/2021 |
| Medicare PECOS PAC ID | 0244646800 |
|---|---|
| Medicare Enrollment ID | O20210304002396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972196830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Bethany A Owens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336530716 PECOS PAC ID: 5193088078 Enrollment ID: I20180405001281 |
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