Organization
A NEW LENS PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH GREGORY BURKE (MEMBER)
(816) 289-2687
Entity
Organization
Contact information
Practice address
9229 WARD PKWY STE 260, KANSAS CITY, MO 64114-3333
(816) 289-2687
(913) 273-1561
Mailing address
4419 W 112TH TER, LEAWOOD, KS 66211-1718
(816) 289-2687
(913) 273-1561
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1999140256
MISSOURI LICENSED PSYCHOLOGIST
MO
Enumeration date
09/29/2021
Last updated
05/11/2022
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