Organization
LEAVENWORTH UNIFIED SCHOOL 453
Active
Other names
Leavenworth County Special Education Coooperative
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN GULLETT (BUSINESS MANAGER)
(913) 684-1400
Entity
Organization
Contact information
Practice address
210 E MARY ST, LANSING, KS 66043-1633
(913) 727-1755
(913) 727-1602
Mailing address
200 N 4TH ST, PO BOX 969, LEAVENWORTH, KS 66048-1963
(913) 684-1400
(913) 684-1407
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100212020A
—
KS
Enumeration date
12/31/2009
Last updated
12/31/2009
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