Provider Demographics
NPI:1205844644
Name:KARYN B PERRY
Entity Type:Organization
Organization Name:KARYN B PERRY
Other - Org Name:MIDWEST PSYCHOLOGICAL CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KARYN
Authorized Official - Middle Name:B
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD,
Authorized Official - Phone:913-663-1502
Mailing Address - Street 1:8645 COLLEGE BLVD
Mailing Address - Street 2:SUITE 270
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1835
Mailing Address - Country:US
Mailing Address - Phone:913-663-1502
Mailing Address - Fax:913-663-1722
Practice Address - Street 1:8645 COLLEGE BLVD
Practice Address - Street 2:SUITE 270
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1835
Practice Address - Country:US
Practice Address - Phone:913-663-1502
Practice Address - Fax:913-663-1722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLP 1195103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS000D826Medicare ID - Type UnspecifiedPROVIDER NUMBER
KSQ43172Medicare UPIN
MO000D826AMedicare ID - Type UnspecifiedMO PROVIDER NUMBER