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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