| Kincare Behavioral Health Inc | |
|
4866 W 135th St Leawood KS 66224-8715 | |
| (913) 820-2106 | |
| (913) 815-4127 |
| Full Name | Kincare Behavioral Health Inc |
|---|---|
| Speciality | Case Management |
| Location | 4866 W 135th St, Leawood, Kansas |
| Authorized Official Name and Position | Lucilene A Gross (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8324391896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kincare Behavioral Health Inc 4866 W 135th St Leawood KS 66224-8715 Ph: (913) 820-2106 | Kincare Behavioral Health Inc 4866 W 135th St Leawood KS 66224-8715 Ph: (913) 820-2106 |
| NPI Number | 1174031553 |
|---|---|
| Provider Enumeration Date | 01/19/2018 |
| Last Update Date | 10/23/2020 |
| Certification Date | 10/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174031553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 140 (Kansas) | Secondary |
| 251B00000X | Case Management | 140 (Kansas) | Primary |
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