Healthcare Provider Details

I. General information

NPI: 1730905746
Provider Name (Legal Business Name): TWIN MOUNDS INSURANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2024
Last Update Date: 11/25/2024
Certification Date: 11/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3106 MAIN ST
PARSONS KS
67357-2650
US

IV. Provider business mailing address

3106 MAIN ST
PARSONS KS
67357-2650
US

V. Phone/Fax

Practice location:
  • Phone: 620-778-1926
  • Fax:
Mailing address:
  • Phone: 620-778-1926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
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. FRANKLIN ANDREW CHAPMAN
Title or Position: CEO/CLINICAL DIRECTOR
Credential:
Phone: 620-778-1926