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NPI Code Detail

MEDICARE: KECHELLE ENNS LPC

MEDICARE: KECHELLE ENNS LPC
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
1101YP2500XProfessional Counselor05010KS

General Provider Information

NPI Number : 1245025576
Entity Type Code : Individual
Provider Name (Legal Business Name) : KECHELLE ENNS LPC
Provider Business Mailing Address
First Line : 271 W 3RD ST N STE 600
Second Line :
City : WICHITA
State : KS
Zip : 67202-1223
Country : US
Telephone Number : 316-660-7600
Fax Number :
Provider Business Practice Location Address
First Line : 1938 N WOODLAWN ST STE 400
Second Line :
City : WICHITA
State : KS
Zip : 67208-1875
Country : US
Telephone Number : 316-660-9600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2025
Last Update Date : 05/04/2026

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Directions to “ KECHELLE ENNS LPC” Practice Location

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