MEDITELECARE OF KANSAS LLC

TOPEKA, KS
NPI1083116628
Entity TypeOrganization
Authorized ContactANDREA GODFREY
Credentialing & Enrollment Manager
860-788-6404
Organization Subpart ?No
Primary Taxonomy103T00000X Psychologist
Additional Taxonomies1041C0700X Social Worker, Clinical
2084P0800X Psychiatry & Neurology, Psychiatry
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry
363L00000X Nurse Practitioner
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2018-02-28
Last Update Date2024-05-06
Business Address
MEDITELECARE OF KANSAS LLC
112 SW 7TH ST STE 3C
TOPEKA, KS 66603-3858
Phone number: 860-788-6404
Mailing Address
MEDITELECARE OF KANSAS LLC
PO BOX 1595
MIDDLETOWN, CT 06457-8095
Phone number: 860-788-6404