Mccollum-Wachter, Kristy

Mccollum-Wachter, Kristy is an individual health care provider with primary practice located at 11120 W 65Th St , Shawnee KS 66203-5504. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Mccollum-Wachter, Kristy can be contacted via phone (913) 826-4200.

Contact Information

Primary practice address
11120 W 65Th St Shawnee KS 66203-5504
Phone: (913) 826-4200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 176 Kansas

Profile Details

NPI number 1154537488
LBN Legal business name Mccollum-Wachter, Kristy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Jan 24th, 2022 - about 4 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 1154537488 NPPES
Kansas MEDICAID 100098010D

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