Dustin Baxter

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

NPI 1710313630 · NPPES record last updated Sep 24, 2013

Key facts

NPI
1710313630
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1106 N 155TH St Ste B
Basehor, KS 66007-7100
Phone
(913) 662-7071
Fax
(913) 662-7072
NPI assigned
Sep 24, 2013
Sex
Male
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

1106 N 155TH St Ste B
Basehor, KS 66007-7100

Mailing address

1106 N 155TH St Ste B
Basehor, KS 66007-7100
Phone (913) 662-7071

Other providers in Basehor, KS

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

Sources for this page

Verify at the official NPI Registry.