| Marcella J Kille Lscsw Pa | |
|
101 E 1st Ave Hutchinson KS 67501-7147 | |
| (620) 921-1029 | |
| (620) 662-5621 |
| Full Name | Marcella J Kille Lscsw Pa |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 101 E 1st Ave, Hutchinson, Kansas |
| Authorized Official Name and Position | Marcella J Kille (DIRECTOR) |
| Authorized Official Contact | 6209211029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marcella J Kille Lscsw Pa 101 E 1st Ave Hutchinson KS 67501-7147 Ph: (620) 921-1029 | Marcella J Kille Lscsw Pa 101 E 1st Ave Hutchinson KS 67501-7147 Ph: (620) 921-1029 |
| NPI Number | 1083852362 |
|---|---|
| Provider Enumeration Date | 01/26/2009 |
| Last Update Date | 02/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083852362 | NPI | - | NPPES |
| 200451960C | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3862 (Kansas) | Primary |
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