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General NPI Number Information
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NPI Number | 1639034341
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Entity Type | Organization
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Legal Business Name | KANSAS CITY BEHAVIORAL HEALTH HOLDCO
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Dates
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Enumeration Date | 12/16/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 5350 COLLEGE BLVD
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City | LEAWOOD
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State | KS
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Zip | 66211-1936
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Country | US
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Telephone | 816-877-2005
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Fax |
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Provider Business Mailing Address
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Address Line | 4520 MAIN ST STE 1500
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City | KANSAS CITY
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State | MO
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Zip | 64111-1868
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Country | US
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Telephone | 816-877-2005
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Fax |
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Authorized Official
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Title or Position | BOARD OF DIRECTORS
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Name | TAMMY LEE DUCKWORTH HAM
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Credential |
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Telephone | 816-877-2005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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