Organization
KANSAS CITY KANSAS SCOPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNETTE S SPARKMAN-BARNES PSY.D. (VICE PRESIDENT)
(913) 909-4811
Entity
Organization
Contact information
Practice address
8101 PARALLEL PKWY, STE 500, KANSAS CITY, KS 66112-2010
(913) 909-4811
Mailing address
4418 N 122ND TER, KANSAS CITY, KS 66109-5801
(913) 909-4811
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
1237
KS
251K00000X
Public Health or Welfare Agency
R0501
MO
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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