Organization
KANSAS CARE CONNECT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHAEL RIVERO APRN (OWNER)
(316) 370-2406
Entity
Organization
Contact information
Practice address
7111 E 21ST ST N STE 104, WICHITA, KS 67206-1090
(316) 370-2406
(316) 803-1462
Mailing address
7111 E 21ST ST N STE 104, WICHITA, KS 67206-1090
(316) 370-2406
(316) 803-1462
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
163WC0400X
Case Management Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000496982001
—
KS
Enumeration date
04/27/2023
Last updated
07/25/2025
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