Neurodivergent Consultants Of Kansas | |
423 N Mclean Blvd Wichita KS 67203-5964 | |
(316) 773-8937 | |
(316) 202-5180 |
Full Name | Neurodivergent Consultants Of Kansas |
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Speciality | Psychiatry & Neurology |
Location | 423 N Mclean Blvd, Wichita, Kansas |
Authorized Official Name and Position | Amy Lou Quinn (OWNER) |
Authorized Official Contact | 3167738937 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neurodivergent Consultants Of Kansas 2442 N Bellwood Ct Wichita KS 67205-1417 Ph: (316) 773-8937 | Neurodivergent Consultants Of Kansas 423 N Mclean Blvd Wichita KS 67203-5964 Ph: (316) 773-8937 |
NPI Number | 1326744301 |
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Provider Enumeration Date | 02/01/2023 |
Last Update Date | 02/16/2024 |
Certification Date | 02/16/2024 |
Medicare PECOS PAC ID | 2264874890 |
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Medicare Enrollment ID | O20240528001530 |
Identifier | Type | State | Issuer |
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1326744301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0005X | Psychiatry & Neurology - Neurodevelopmental Disabilities | (* (Not Available)) | Primary |
Provider Name | Kelly Ann Knipp |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619630944 PECOS PAC ID: 4981046521 Enrollment ID: I20240528001917 |
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