| Betty K. Skinner, Lscsw, Inc. | |
|
2135 N Sunridge St Wichita KS 67235-1503 | |
| (316) 201-1080 | |
| (316) 201-1085 |
| Full Name | Betty K. Skinner, Lscsw, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2135 N Sunridge St, Wichita, Kansas |
| Authorized Official Name and Position | Betty K. Skinner (DIRECTOR) |
| Authorized Official Contact | 3162011080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Betty K. Skinner, Lscsw, Inc. 2135 N Sunridge St Wichita KS 67235-1503 Ph: (316) 201-1080 | Betty K. Skinner, Lscsw, Inc. 2135 N Sunridge St Wichita KS 67235-1503 Ph: (316) 201-1080 |
| NPI Number | 1700076296 |
|---|---|
| Provider Enumeration Date | 07/31/2007 |
| Last Update Date | 08/06/2013 |
| Medicare PECOS PAC ID | 1052361227 |
|---|---|
| Medicare Enrollment ID | O20050125000990 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700076296 | NPI | - | NPPES |
| 200003060/C | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Kansas) | Primary |
| Provider Name | Betty Kelper Skinner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033111281 PECOS PAC ID: 5496705667 Enrollment ID: I20050126000670 |
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