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General NPI Number Information
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NPI Number | 1669443958
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Entity Type | Organization
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Legal Business Name | HEALTH MANAGEMENT OF KANSAS, INC.
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Dates
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Enumeration Date | 01/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 106 TYLER BLVD
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City | COFFEYVILLE
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State | KS
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Zip | 67337-2425
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Country | US
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Telephone | 620-251-0214
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Fax |
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Provider Business Mailing Address
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Address Line | 2904 W 8TH ST
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City | COFFEYVILLE
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State | KS
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Zip | 67337-2562
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Country | US
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Telephone | 620-251-0214
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MONTE COFFMAN
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Credential |
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Telephone | 620-251-5190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | N-063-015
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License Number State | KS
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