Provider Demographics
NPI:1811128580
Name:ARMSTRONG, KILEE MAE (MFT)
Entity type:Individual
Prefix:
First Name:KILEE
Middle Name:MAE
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 TERRADYNE DR STE 222
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:KS
Mailing Address - Zip Code:67002-7943
Mailing Address - Country:US
Mailing Address - Phone:316-272-8939
Mailing Address - Fax:316-221-7166
Practice Address - Street 1:1400 TERRADYNE DR STE 222
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:KS
Practice Address - Zip Code:67002-7943
Practice Address - Country:US
Practice Address - Phone:316-272-8939
Practice Address - Fax:316-221-7166
Is Sole Proprietor?:No
Enumeration Date:2009-07-29
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS799106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist