MEDICARE: SARAH KINDER 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
1	104100000X	Social Worker	7747	KS

General Provider Information

NPI Number	:	1396056669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH KINDER LMSW

Provider Business Mailing Address
First Line	:	116 S 4TH ST
Second Line	:	SUITE 1
City	:	MANHATTAN
State	:	KS
Zip	:	66502-6110
Country	:	US
Telephone Number	:	785-539-1017
Fax Number	:	785-539-3097

Provider Business Practice Location Address
First Line	:	116 S 4TH ST
Second Line	:	SUITE 1
City	:	MANHATTAN
State	:	KS
Zip	:	66502-6110
Country	:	US
Telephone Number	:	785-539-1017
Fax Number	:	785-539-3097

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

Provider Enumeration Date	:	07/01/2010
Last Update Date	:	07/01/2010

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