Individual
MS. KIM CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
7777 E OSIE ST, STE. 310, WICHITA, KS 67207-3106
(316) 688-9850
(316) 448-0332
Mailing address
7777 E OSIE ST, STE. 310, WICHITA, KS 67207-3106
(316) 688-9850
(316) 448-0332
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSCSW 2275
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070781
BCBS
KS
01
—
12313
PPK/PHS
KS
05
—
200357890B
—
KS
Enumeration date
08/19/2006
Last updated
07/21/2013
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