Healthcare Provider Details

I. General information

NPI: 1659284388
Provider Name (Legal Business Name): JENNIFER R KAY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 E WALNUT ST
COLDWATER KS
67029-6495
US

IV. Provider business mailing address

1171 ROAD 15
COLDWATER KS
67029-5662
US

V. Phone/Fax

Practice location:
  • Phone: 785-580-8698
  • Fax:
Mailing address:
  • Phone: 620-635-5543
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number05537
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: