| Kristi Mcneal Llc | |
|
3310 E Douglas Ave Wichita KS 67208-3314 | |
| (316) 272-0077 | |
| Not Available |
| Full Name | Kristi Mcneal Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3310 E Douglas Ave, Wichita, Kansas |
| Authorized Official Name and Position | Kristi Mcneal (SOLE MEMBER) |
| Authorized Official Contact | 3163717130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristi Mcneal Llc Po Box 245 Towanda KS 67144-0245 Ph: () - | Kristi Mcneal Llc 3310 E Douglas Ave Wichita KS 67208-3314 Ph: (316) 272-0077 |
| NPI Number | 1447872718 |
|---|---|
| Provider Enumeration Date | 05/10/2020 |
| Last Update Date | 05/10/2020 |
| Certification Date | 05/10/2020 |
| Medicare PECOS PAC ID | 0244624070 |
|---|---|
| Medicare Enrollment ID | O20220222000292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447872718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kristi R Mcneal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104230614 PECOS PAC ID: 4688996333 Enrollment ID: I20141208001008 |
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