| Mr John H Koppenhaver Iv, MA, LCP | |
|
217 W Ira Ct, Andover, KS 67002-9469 | |
| (316) 733-5047 | |
| (316) 733-5060 |
| Full Name | Mr John H Koppenhaver Iv |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 217 W Ira Ct, Andover, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447281357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LCP 248 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John H Koppenhaver Iv, MA, LCP 227 N Edgemoor St, Wichita, KS 67208-4420 Ph: (316) 684-3688 | Mr John H Koppenhaver Iv, MA, LCP 217 W Ira Ct, Andover, KS 67002-9469 Ph: (316) 733-5047 |
Danielle Leigh Forbes, TLMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 221 E King St, Andover, KS 67002 Phone: 316-733-5047 | |
Jenna Sue Fountain, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 221 E King St, Andover, KS 67002 Phone: 316-733-5047 | |
Jill Roberts, LMLP Psychologist Medicare: Medicare Enrolled Practice Location: 217 W Ira Ct, Andover, KS 67002 Phone: 316-733-5047 | |
Darci Elizabeth Klein, MS Psychologist Medicare: Medicare Enrolled Practice Location: 217 W Ira Ct, Andover, KS 67002 Phone: 316-733-5047 | |
Jared Samuel Ohm, TLMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 217 W Ira Ct, Andover, KS 67002 Phone: 316-733-5047 | |
Katherine Rayne Leahy, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 217 W Ira Ct, Andover, KS 67002 Phone: 316-733-5047 |