Bertoncin, Kristen Marie

Bertoncin, Kristen Marie is an individual health care provider with primary practice located at 6440 Nieman Rd , Shawnee KS 66203-3326. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bertoncin, Kristen Marie can be contacted via phone (913) 962-9955.

Contact Information

Primary practice address
6440 Nieman Rd Shawnee KS 66203-3326
Phone: (913) 962-9955
Fax: (913) 826-1589
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC 2284 Kansas

Profile Details

NPI number 1770700874
LBN Legal business name Bertoncin, Kristen Marie
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Aug 29th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770700874 NPPES
Kansas MEDICAID 100098010B

Popular Providers