Provider Demographics
NPI:1760166128
Name:CARE ND PROVIDER GROUP OF KANSAS
Entity Type:Organization
Organization Name:CARE ND PROVIDER GROUP OF KANSAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR DIRECTOR REV CYCLE OPS
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:YOUNG
Authorized Official - Last Name:ZAJAC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-204-7198
Mailing Address - Street 1:CAREND PROVIDER GROUP OF KANSAS
Mailing Address - Street 2:12022 BLUE VALLEY PARKWAY SUITE 514
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213
Mailing Address - Country:US
Mailing Address - Phone:708-630-1534
Mailing Address - Fax:888-517-8619
Practice Address - Street 1:CAREND PROVIDER GROUP OF KANSAS
Practice Address - Street 2:12022 BLUE VALLEY PARKWAY SUITE 514
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213
Practice Address - Country:US
Practice Address - Phone:708-630-1534
Practice Address - Fax:888-517-8619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty