Healthcare Provider Details

I. General information

NPI: 1639406713
Provider Name (Legal Business Name): EXPEDIENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2009
Last Update Date: 02/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22368 S HARRISON ST
SPRING HILL KS
66083-3148
US

IV. Provider business mailing address

22368 S HARRISON ST
SPRING HILL KS
66083-3148
US

V. Phone/Fax

Practice location:
  • Phone: 913-205-4143
  • Fax:
Mailing address:
  • Phone: 877-373-1872
  • Fax: 877-634-0261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
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: KEVIN R KINGSTON
Title or Position: COO
Credential:
Phone: 913-205-4143