Provider Demographics
NPI:1003547480
Name:KAHLER, KELSIE
Entity type:Individual
Prefix:
First Name:KELSIE
Middle Name:
Last Name:KAHLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1770 DIAMOND PKWY APT 148
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-4335
Mailing Address - Country:US
Mailing Address - Phone:660-676-8446
Mailing Address - Fax:
Practice Address - Street 1:16201 WEDD ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66085-7857
Practice Address - Country:US
Practice Address - Phone:913-306-4974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-17
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician