| Neurodivergent Consultants Of Kansas | |
|
423 N Mclean Blvd Wichita KS 67203-5964 | |
| (316) 773-8937 | |
| (316) 202-5180 |
| Full Name | Neurodivergent Consultants Of Kansas |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 423 N Mclean Blvd, Wichita, Kansas |
| Authorized Official Name and Position | Amy Lou Quinn (OWNER) |
| Authorized Official Contact | 3167738937 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurodivergent Consultants Of Kansas 2442 N Bellwood Ct Wichita KS 67205-1417 Ph: (316) 773-8937 | Neurodivergent Consultants Of Kansas 423 N Mclean Blvd Wichita KS 67203-5964 Ph: (316) 773-8937 |
| NPI Number | 1326744301 |
|---|---|
| Provider Enumeration Date | 02/01/2023 |
| Last Update Date | 02/16/2024 |
| Certification Date | 02/16/2024 |
| Medicare PECOS PAC ID | 2264874890 |
|---|---|
| Medicare Enrollment ID | O20240528001530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326744301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0005X | Psychiatry & Neurology - Neurodevelopmental Disabilities | (* (Not Available)) | Primary |
| Provider Name | Kelly Ann Knipp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619630944 PECOS PAC ID: 4981046521 Enrollment ID: I20240528001917 |
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