Kelso, Michael Shane

Kelso, Michael Shane is an individual health care provider with primary practice located at 6000 Lamar Ave Ste 130, Mission KS 66202-3234. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kelso, Michael Shane can be contacted via phone (913) 831-2550.

Contact Information

Primary practice address
6000 Lamar Ave Ste 130 Mission KS 66202-3234
Phone: (913) 831-2550
Fax: (913) 826-1589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 234 Kansas

Profile Details

NPI number 1932292331
LBN Legal business name Kelso, Michael Shane
Credentials LSCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2006
Last updated Jul 23rd, 2010 - about 15 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 1932292331 NPPES
Other 09544033 BCBS OF KC
MEDICAID 100098010 BCBS OF KC

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