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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CAROL SUE KERR D.O (CEO)
(620) 231-0989
Entity
Organization

Contact information

Practice address
516 OHIO ST, PITTSBURG, KS 66762-6430
(620) 231-0989
(620) 231-1208
Mailing address
516 OHIO ST, PITTSBURG, KS 66762
(620) 231-0989
(620) 231-1208

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
KS
251C00000X
Developmentally Disabled Services Day Training Agency
KS
253Z00000X
In Home Supportive Care Agency
Primary
KS

Other

Enumeration date
12/02/2013
Last updated
12/02/2013
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