| Keith Kobes, Llc | |
|
8575 W. 110th St 218 Overland Park KS 66210-2620 | |
| (913) 345-0033 | |
| (913) 345-0177 |
| Full Name | Keith Kobes, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 8575 W. 110th St, Overland Park, Kansas |
| Authorized Official Name and Position | Keith J Kobes (PSYCHOLOGIST) |
| Authorized Official Contact | 9133450033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Kobes, Llc 8575 W. 110th St 218 Overland Park KS 66210-2620 Ph: (913) 345-0033 | Keith Kobes, Llc 8575 W. 110th St 218 Overland Park KS 66210-2620 Ph: (913) 345-0033 |
| NPI Number | 1447796420 |
|---|---|
| Provider Enumeration Date | 01/13/2017 |
| Last Update Date | 01/13/2017 |
| Medicare PECOS PAC ID | 6507148707 |
|---|---|
| Medicare Enrollment ID | O20170124001361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447796420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 0878 (Kansas) | Secondary |
| 103TC1900X | Psychologist - Counseling | 0878 (Kansas) | Primary |
| Provider Name | Keith J Kobes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073738233 PECOS PAC ID: 5496791881 Enrollment ID: I20120308000375 |
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