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Individual

KEVIN RYAN KUFELDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
6440 NIEMAN RD, SHAWNEE, KS 66203-3326
(913) 826-4200
Mailing address
6000 LAMAR AVE, STE 130, MISSION, KS 66202-3234
(913) 826-4200

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
322
KS
101YP2500X
Professional Counselor
Primary
LCPC 2310
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1174513444
KS
Enumeration date
03/07/2008
Last updated
11/22/2023
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