Organization
JENNY'S KIDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY C. BRACK OTR/L (OWNER)
(785) 331-0667
Entity
Organization
Contact information
Practice address
879 E 1259 RD, LAWRENCE, KS 66047-9201
(785) 331-0667
Mailing address
879 E 1259 RD, LAWRENCE, KS 66047-9201
(785) 331-0667
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
17-00516
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120098
BCBSKS PERFORMING PROVIDE
KS
Enumeration date
10/05/2006
Last updated
08/22/2020
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