# KENWOOD PLAZA, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306823406
- **Authorized official:** TRACY L BARTLEY (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (785) 273-3383

## Contact information

- **Practice address:** 607 E 1ST AVE, ST JOHN, KS 67576-2223
- **Practice address phone:** (620) 549-6133
- **Practice address fax:** (620) 549-9971
- **Mailing address:** 607 E 1ST AVE, ST JOHN, KS 67576-2223
- **Mailing address phone:** (620) 549-6133
- **Mailing address fax:** (620) 549-9971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | N093004 | KS | Yes |

## Other

- **Enumeration date:** 12/29/2005
- **Last updated:** 08/22/2020