| Cognitive Care Of Kansas Inc | |
|
1430 N Glancey St Andover KS 67002-7411 | |
| (316) 258-1661 | |
| Not Available |
| Full Name | Cognitive Care Of Kansas Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1430 N Glancey St, Andover, Kansas |
| Authorized Official Name and Position | Andrew Leddy Small (PRESIDENT) |
| Authorized Official Contact | 3162581661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive Care Of Kansas Inc 1430 N Glancey St Andover KS 67002-7411 Ph: (316) 258-1661 | Cognitive Care Of Kansas Inc 1430 N Glancey St Andover KS 67002-7411 Ph: (316) 258-1661 |
| NPI Number | 1316715824 |
|---|---|
| Provider Enumeration Date | 12/13/2023 |
| Last Update Date | 12/13/2023 |
| Certification Date | 12/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316715824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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