MEDICARE: MRS. NOEL DENISE KEARNS ATR-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	221700000X	Art Therapist

General Provider Information

NPI Number	:	1033465844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NOEL DENISE KEARNS ATR-BC

Provider Business Mailing Address
First Line	:	5040 BOB BILLINGS PKWY STE B
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66049-3843
Country	:	US
Telephone Number	:	816-704-0378
Fax Number	:

Provider Business Practice Location Address
First Line	:	5040 BOB BILLINGS PKWY STE B
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66049-3843
Country	:	US
Telephone Number	:	816-704-0378
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2012
Last Update Date	:	02/23/2025

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