| Kidstlc, Inc. | |
|
620 S Rogers Rd Olathe KS 66062-1704 | |
| (913) 764-2887 | |
| (913) 780-3387 |
| Full Name | Kidstlc, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 620 S Rogers Rd, Olathe, Kansas |
| Authorized Official Name and Position | Mary Thomas (CFO) |
| Authorized Official Contact | 9133243681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidstlc, Inc. 480 S Rogers Rd Olathe KS 66062-1706 Ph: (913) 764-2887 | Kidstlc, Inc. 620 S Rogers Rd Olathe KS 66062-1704 Ph: (913) 764-2887 |
| NPI Number | 1295177814 |
|---|---|
| Provider Enumeration Date | 07/24/2013 |
| Last Update Date | 07/15/2021 |
| Certification Date | 07/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295177814 | NPI | - | NPPES |
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