Individual
KELBY SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
3205 CLINTON PARKWAY CT, LAWRENCE, KS 66047-2627
(913) 350-4511
(785) 841-5433
Mailing address
130 E 5TH ST, NEWTON, KS 67114-2206
(316) 283-6743
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
01933-TS
KS
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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