Kelly Hanson

Individual provider Active NPI Case Manager/Care Coordinator · Tonganoxie, KS

NPI 1346538451 · NPPES record last updated Jul 11, 2011

Key facts

NPI
1346538451
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
304 West St
Tonganoxie, KS 66086-9714
Phone
(913) 417-7061
Fax
(913) 417-7062
NPI assigned
Jul 11, 2011
Sex
Female
Sole proprietor
No

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
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

304 West St
Tonganoxie, KS 66086-9714

Mailing address

PO Box 252
Tonganoxie, KS 66086-0252
Phone (913) 417-7061

Other providers in Tonganoxie, KS

All providers in Tonganoxie, KS · Case Manager/Care Coordinator in Kansas

Sources for this page

Verify at the official NPI Registry.