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General NPI Number Information
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NPI Number | 1649989138
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Entity Type | Organization
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Legal Business Name | CAREMED HEALTH SOLUTIONS OF KANSAS LLC
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Dates
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Enumeration Date | 11/23/2022
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 9700 W 62ND ST
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City | SHAWNEE
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State | KS
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Zip | 66203-3220
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Country | US
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Telephone | 718-942-3483
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Fax |
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Provider Business Mailing Address
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Address Line | 2420 KNAPP ST
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City | BROOKLYN
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State | NY
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Zip | 11235-1006
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Country | US
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Telephone | 718-942-3483
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KURTIS WILLIAM KLECAN
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Credential |
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Telephone | 718-942-3483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 364SL0600X
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Taxonomy Name | Long-Term Care Clinical Nurse Specialist
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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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 | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number |
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License Number State |
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