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NPI Code Detail

MEDICARE: MRS. CARI M MEKAEIL LSCSW

MEDICARE: MRS. CARI M MEKAEIL LSCSW
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 Worker7861KS
21041C0700XClinical Social Worker4371KS

General Provider Information

NPI Number : 1538479993
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CARI M MEKAEIL LSCSW
Provider Business Mailing Address
First Line : 350 S BROADWAY ST
Second Line :
City : WICHITA
State : KS
Zip : 67202-4304
Country : US
Telephone Number : 316-660-9600
Fax Number : 316-660-9669
Provider Business Practice Location Address
First Line : 635 N MAIN ST
Second Line :
City : WICHITA
State : KS
Zip : 67203-3602
Country : US
Telephone Number : 316-660-7600
Fax Number : 316-941-5075
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2010
Last Update Date : 10/29/2014

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