Hartley, Kevin E

Hartley, Kevin E is an individual health care provider with primary practice located at 940 N Waco Ave , Wichita KS 67203-3947. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Hartley, Kevin E can be contacted via phone (316) 660-7550.

Contact Information

Primary practice address
940 N Waco Ave Wichita KS 67203-3947
Phone: (316) 660-7550
Fax: (316) 383-8241
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 1835 Kansas

Profile Details

NPI number 1780635177
LBN Legal business name Hartley, Kevin E
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780635177 NPPES
Kansas Other 389922 BLUE CROSS BLUE SHIELD
Kansas Other 4217 BLUE CROSS BLUE SHIELD

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