Healthcare Provider Details

I. General information

NPI: 1649989138
Provider Name (Legal Business Name): CAREMED HEALTH SOLUTIONS OF KANSAS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2022
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9700 W 62ND ST
SHAWNEE KS
66203-3220
US

IV. Provider business mailing address

2420 KNAPP ST
BROOKLYN NY
11235-1006
US

V. Phone/Fax

Practice location:
  • Phone: 718-942-3483
  • Fax:
Mailing address:
  • Phone: 718-942-3483
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code364SL0600X
TaxonomyLong-Term Care Clinical Nurse Specialist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: KURTIS WILLIAM KLECAN
Title or Position: OWNER
Credential:
Phone: 718-942-3483