Healthcare Provider Details

I. General information

NPI: 1902951668
Provider Name (Legal Business Name): PAYROLL PLUS OF KANSAS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8505 DD RD
MONTEZUMA KS
67867-8849
US

IV. Provider business mailing address

8505 DD RD
MONTEZUMA KS
67867-8849
US

V. Phone/Fax

Practice location:
  • Phone: 620-846-2658
  • Fax: 620-846-2340
Mailing address:
  • Phone: 620-846-2658
  • Fax: 620-846-2340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateKS
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateKS

VIII. Authorized Official

Name: TERRY J KOEHN
Title or Position: PRES.
Credential:
Phone: 620-846-2658