<Unavail>

LBN: Wesley S Smothermon
<Unavail> is an health care organization with primary practice located at 2801 W 15Th St N , Wichita KS 67203-1833. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as the primary health care specialty. Wesley S Smothermon can be contacted via phone (316) 648-9580, or through Smothermon, Wesley S via phone (316) 648-9580.

Contact Information

Primary practice address
2801 W 15Th St N Wichita KS 67203-1833
Phone: (316) 648-9580
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smothermon, Wesley S Master of Arts (MA)
Phone: (316) 648-9580

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X KO1-14-3203 Kansas

Profile Details

NPI number 1417497231
LBN Legal business name Wesley S Smothermon
DBA Doing business as <Unavail>
Authorized official Smothermon, Wesley S Master of Arts (MA)
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 27th, 2017
Last updated Feb 27th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417497231 NPPES
Kansas MEDICAID 201142440A

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