Kathleen E Lust

Individual provider Active NPI Attendant Care Provider · St. George, KS

NPI 1316589641 · NPPES record last updated May 7, 2020

Key facts

NPI
1316589641
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
3420 Pin Oak Dr
St. George, KS 66535
Phone
(785) 844-2987
NPI assigned
Oct 8, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X Yes

Addresses

Primary practice location

3420 Pin Oak Dr
St. George, KS 66535

Mailing address

3420 Pin Oak Dr
St. George, KS 66535
Phone (785) 844-2987

Other providers in St. George, KS

All providers in St. George, KS · Attendant Care Provider in Kansas

Sources for this page

Verify at the official NPI Registry.