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General NPI Number Information
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NPI Number | 1679642318
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Entity Type | Organization
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Legal Business Name | CENTRAL KANSAS PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 925 S PATTON RD
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City | GREAT BEND
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State | KS
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Zip | 67530-4627
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Country | US
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Telephone | 620-792-6619
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Fax | 620-792-2136
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Provider Business Mailing Address
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Address Line | 2335 HIGHWAY 14
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City | GENESEO
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State | KS
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Zip | 67444-9017
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Country | US
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Telephone | 620-792-6619
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Fax | 620-792-2136
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JANE E KOHRS
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Credential | PHF
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Telephone | 620-792-6619
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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