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General NPI Number Information
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NPI Number | 1629068838
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Entity Type | Organization
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Legal Business Name | KIDRON BETHEL RETIREMENT SERVICES, INC.
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Dates
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Enumeration Date | 10/27/2005
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Last Update Date | 10/20/2022
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Provider Practice Location Address
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Address Line | 3001 IVY DRIVE
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City | NORTH NEWTON
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State | KS
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Zip | 67117-8002
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Country | US
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Telephone | 316-284-2900
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Fax | 316-284-0173
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Provider Business Mailing Address
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Address Line | 3001 IVY DRIVE
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City | NORTH NEWTON
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State | KS
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Zip | 67117-8002
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Country | US
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Telephone | 316-284-2900
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Fax | 316-284-0173
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Authorized Official
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Title or Position | CEO
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Name | JAMES KREHBIEL
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Credential |
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Telephone | 316-284-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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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 | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | N040-001
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | N-040-001
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License Number State | KS
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