Provider Demographics
NPI:1568618528
Name:LAPO, KIMBERLY VEL (LSCSW)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:VEL
Last Name:LAPO
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1329 18TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:66935-2209
Mailing Address - Country:US
Mailing Address - Phone:785-560-3101
Mailing Address - Fax:785-200-3766
Practice Address - Street 1:1329 18TH ST
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:KS
Practice Address - Zip Code:66935-2209
Practice Address - Country:US
Practice Address - Phone:785-560-3101
Practice Address - Fax:785-200-3766
Is Sole Proprietor?:No
Enumeration Date:2008-08-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS43401041C0700X, 1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200572290FMedicaid