Mycanka, Karen

Mycanka, Karen is an individual health care provider with primary practice located at 1700 Rainbow Blvd , Excelsior Springs MO 64024-1182. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand is her primary health care specialty. Mycanka, Karen can be contacted via phone (816) 629-2700.

Contact Information

Primary practice address
1700 Rainbow Blvd Excelsior Springs MO 64024-1182
Phone: (816) 629-2700
Fax: (816) 629-2723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 000014 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 000014 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 9811000110 Missouri

Profile Details

NPI number 1376501684
LBN Legal business name Mycanka, Karen
Credentials OTR CHT CLT
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jun 19th, 2013 - about 12 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 1376501684 NPPES
Missouri Other 20217047 BCBS

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