Liebenau, Kenneth

Liebenau, Kenneth is an individual health care provider with primary practice located at 727 N Waco Ave Ste 320, Wichita KS 67203-3972. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Liebenau, Kenneth can be contacted via phone (316) 616-0260.

Contact Information

Primary practice address
727 N Waco Ave Ste 320 Wichita KS 67203-3972
Phone: (316) 616-0260
Fax: (316) 616-0264
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP-1019 Kansas

Profile Details

NPI number 1841293057
LBN Legal business name Liebenau, Kenneth
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Aug 29th, 2007 - about 18 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 1841293057 NPPES
Kansas Other 119713 BLUE CROSS BLUE SHIELD
Kansas Other 11890 BLUE CROSS BLUE SHIELD

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