Kelli Jean Fisher

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

NPI 1386236396 · NPPES record last updated Feb 10, 2021

Key facts

NPI
1386236396
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
901 Ash St
Eudora, KS 66025-9557
Phone
(785) 312-4271
NPI assigned
Feb 10, 2021
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
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

901 Ash St
Eudora, KS 66025-9557

Mailing address

901 Ash St
Eudora, KS 66025-9557
Phone (785) 312-4271

Other providers in Eudora, KS

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

Sources for this page

Verify at the official NPI Registry.