MEDICARE: KANSAS PUBLIC SCHOOLS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)	100680100A	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285764308
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KANSAS PUBLIC SCHOOLS

Provider Business Mailing Address
First Line	:	PO BOX 196
Second Line	:
City	:	KANSAS
State	:	OK
Zip	:	74347-0196
Country	:	US
Telephone Number	:	918-868-2562
Fax Number	:	918-868-5584

Provider Business Practice Location Address
First Line	:	700 N. WOOD AVE.
Second Line	:
City	:	KANSAS
State	:	OK
Zip	:	74347-0196
Country	:	US
Telephone Number	:	918-868-2567
Fax Number	:	918-868-5584

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	MR. JIM BURGESS
Credential	:
Telephone Number	:	918-868-2562

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	07/06/2016

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Directions to “KANSAS PUBLIC SCHOOLS ” Practice Location

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