Healthcare Provider Details

I. General information

NPI: 1245781178
Provider Name (Legal Business Name): PLAN & BENEFIT ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2016
Last Update Date: 10/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3965 W 83RD ST SUITE #126
PRAIRIE VILLAGE KS
66208-5308
US

IV. Provider business mailing address

3965 W 83RD ST SUITE #126
PRAIRIE VILLAGE KS
66208-5308
US

V. Phone/Fax

Practice location:
  • Phone: 913-945-1215
  • Fax:
Mailing address:
  • Phone: 913-945-1215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JD KEMP
Title or Position: MEMBER
Credential:
Phone: 913-945-1215