| Kansas Cognitive Center | |
|
250 N Rock Rd Ste 170 Wichita KS 67206-2287 | |
| (316) 358-7257 | |
| (316) 358-7002 |
| Full Name | Kansas Cognitive Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 250 N Rock Rd Ste 170, Wichita, Kansas |
| Authorized Official Name and Position | Jessica R Tebow (PRACTICE MANAGER) |
| Authorized Official Contact | 3163587257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kansas Cognitive Center 250 N Rock Rd Ste 170 Wichita KS 67206-2287 Ph: (316) 358-7257 | Kansas Cognitive Center 250 N Rock Rd Ste 170 Wichita KS 67206-2287 Ph: (316) 358-7257 |
| NPI Number | 1013599042 |
|---|---|
| Provider Enumeration Date | 04/28/2021 |
| Last Update Date | 04/28/2021 |
| Certification Date | 04/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013599042 | NPI | - | NPPES |
| KA4607 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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