Provider Demographics
NPI:1629197025
Name:KANSAS CITY KANSAS SCOPE
Entity Type:Organization
Organization Name:KANSAS CITY KANSAS SCOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNETTE
Authorized Official - Middle Name:S
Authorized Official - Last Name:SPARKMAN-BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:913-909-4811
Mailing Address - Street 1:4418 N 122ND TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66109-5801
Mailing Address - Country:US
Mailing Address - Phone:913-909-4811
Mailing Address - Fax:
Practice Address - Street 1:8101 PARALLEL PKWY
Practice Address - Street 2:STE 500
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66112-2010
Practice Address - Country:US
Practice Address - Phone:913-909-4811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1237251K00000X
MOR0501251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare