Healthcare Provider Details

I. General information

NPI: 1851036693
Provider Name (Legal Business Name): THEKEY OF KANSAS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2022
Last Update Date: 05/04/2022
Certification Date: 05/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7214 COLLEGE BLVD
OVERLAND PARK KS
66210-1861
US

IV. Provider business mailing address

7777 FAY AVE STE 210
LA JOLLA CA
92037-4325
US

V. Phone/Fax

Practice location:
  • Phone: 913-663-5000
  • Fax:
Mailing address:
  • Phone: 858-287-3077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. SEAN CYGAN
Title or Position: COMPLIANCE ASSOCIATE
Credential:
Phone: 858-287-3077