| Patricia Denton-edwards Llc | |
|
5706 Saddle Rock Rd Manhattan KS 66503-9701 | |
| (785) 477-0300 | |
| Not Available |
| Full Name | Patricia Denton-edwards Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5706 Saddle Rock Rd, Manhattan, Kansas |
| Authorized Official Name and Position | Patricia Denton-edwards (SOLE PROPRIETOR) |
| Authorized Official Contact | 7854770300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Denton-edwards Llc 5706 Saddle Rock Rd Manhattan KS 66503-9701 Ph: (785) 477-0300 | Patricia Denton-edwards Llc 5706 Saddle Rock Rd Manhattan KS 66503-9701 Ph: (785) 477-0300 |
| NPI Number | 1316372600 |
|---|---|
| Provider Enumeration Date | 09/05/2013 |
| Last Update Date | 09/05/2013 |
| Medicare PECOS PAC ID | 2668786336 |
|---|---|
| Medicare Enrollment ID | O20150810000407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316372600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 90 (Kansas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 4108 (Kansas) | Primary |
| Provider Name | Patricia Denton-edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831137736 PECOS PAC ID: 6901125988 Enrollment ID: I20150810000545 |
| Provider Name | Kendall N Runnebaum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033446596 PECOS PAC ID: 3577784503 Enrollment ID: I20170217001236 |
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