Organization
KANSAS TALENT CLUB INC
Active
Organization
KANSAS TALENT CLUB INC
Active
Other names
Na
Organization subpart
No
Provider details
NPI number
Authorized official
TINENE BEAVER (NON MEDICAL TRANSPORTATION PROVIDER)
(785) 438-7592
Entity
Organization
Contact information
Practice address
1217 SE 27TH ST, TOPEKA, KS 66605-1413
(785) 438-7592
Mailing address
PO BOX 1721, TOPEKA, KS 66601-1721
(785) 438-7592
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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