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NPI Code Detail

MEDICARE: MR. JASON ALEXANDER MCKENNEY LMSW

MEDICARE:  MR. JASON ALEXANDER MCKENNEY  LMSW
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
1104100000XSocial Worker6194KS

General Provider Information

NPI Number : 1356551345
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JASON ALEXANDER MCKENNEY LMSW
Provider Business Mailing Address
First Line : 3323 CHATFIELD PL
Second Line :
City : WICHITA
State : KS
Zip : 67208-3208
Country : US
Telephone Number : 316-208-1031
Fax Number :
Provider Business Practice Location Address
First Line : 3323 CHATFIELD PL
Second Line :
City : WICHITA
State : KS
Zip : 67208-3208
Country : US
Telephone Number : 316-208-1031
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 07/01/2025

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Directions to “ MR. JASON ALEXANDER MCKENNEY LMSW” Practice Location

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