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Organization
LEAVENWORTH UNIFIED SCHOOL 453
Active
Organization
LEAVENWORTH UNIFIED SCHOOL 453
Active
Other names
Leavenworth County Special Education Coooperative
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN GULLETT (BUSINESS MANAGER)
(913) 684-1400
Entity
Organization
Contact information
Practice address
210 E MARY ST, LANSING, KS 66043-1633
(913) 727-1755
(913) 727-1602
Mailing address
200 N 4TH ST, PO BOX 969, LEAVENWORTH, KS 66048-1963
(913) 684-1400
(913) 684-1407
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100212020A
—
KS
Enumeration date
12/31/2009
Last updated
12/31/2009
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