Provider Demographics
NPI:1518796341
Name:FEHLIG, KATHERINE ELEANOR
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ELEANOR
Last Name:FEHLIG
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 1:14333 MANOR CT
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66224-3965
Mailing Address - Country:US
Mailing Address - Phone:913-948-4906
Mailing Address - Fax:
Practice Address - Street 1:4800 RAINBOW BLVD STE 200
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:KS
Practice Address - Zip Code:66205-1932
Practice Address - Country:US
Practice Address - Phone:913-423-0662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health