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Organization
INFINIA AT KENSINGTON
Active
Organization
INFINIA AT KENSINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON ROBERTSON (OWNER)
(801) 296-5105
Entity
Organization
Contact information
Practice address
613 N MAIN ST, KENSINGTON, KS 66951-0248
(785) 476-2623
(785) 476-2620
Mailing address
PO BOX 248, KENSINGTON, KS 66951-0248
(785) 476-2623
(785) 476-2620
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N-092-002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104202440
—
KS
Enumeration date
06/28/2005
Last updated
06/12/2008
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