Individual
KATHRYN NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3751 W MAIN ST, INDEPENDENCE, KS 67301-8446
(620) 331-1748
Mailing address
PO BOX 688, INDEPENDENCE, KS 67301-0688
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
343
KS
1041C0700X
Clinical Social Worker
Primary
LSCSW 3809
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200437440A
—
KS
01
—
6919001
MEDICARE PTAN
KS
Enumeration date
09/27/2006
Last updated
02/19/2013
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