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General NPI Number Information
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NPI Number | 1528756590
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Entity Type | Organization
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Legal Business Name | KANSAS CARE CONNECT, LLC
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Dates
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Enumeration Date | 04/27/2023
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 7111 E 21ST ST N STE 104
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City | WICHITA
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State | KS
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Zip | 67206-1090
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Country | US
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Telephone | 316-370-2406
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Fax | 316-803-1462
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Provider Business Mailing Address
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Address Line | 7111 E 21ST ST N STE 104
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City | WICHITA
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State | KS
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Zip | 67206-1090
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Country | US
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Telephone | 316-370-2406
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Fax | 316-803-1462
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Authorized Official
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Title or Position | OWNER
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Name | RACHAEL RIVERO
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Credential | APRN
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Telephone | 316-370-2406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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