Cassy Kelly, Llc

LBN: Cassy Kelly, Llc
Cassy Kelly, Llc is an health care organization with primary practice located at 7221 W 79Th St Ste 105 , Overland Park KS 66204-2906. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Cassy Kelly, Llc can be contacted via phone (913) 444-0083, or through Deister, Stacey M via phone (816) 365-4070.

Contact Information

Primary practice address
7221 W 79Th St Ste 105 Overland Park KS 66204-2906
Phone: (913) 444-0083
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Deister, Stacey M
Phone: (816) 365-4070

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1285369371
LBN Legal business name Cassy Kelly, Llc
DBA Doing business as
Authorized official Deister, Stacey M
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2022
Last updated Aug 9th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285369371 NPPES
Kansas MEDICAID 30004819650001

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