Provider Demographics
NPI:1154045417
Name:KVC BEHAVIORAL HEALTHCARE MISSOURI INC
Entity type:Organization
Organization Name:KVC BEHAVIORAL HEALTHCARE MISSOURI INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REVENUE
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:LEHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-322-4905
Mailing Address - Street 1:21350 W 153RD ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-5413
Mailing Address - Country:US
Mailing Address - Phone:913-322-4900
Mailing Address - Fax:
Practice Address - Street 1:1911 E 23RD ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64127-3701
Practice Address - Country:US
Practice Address - Phone:816-241-3448
Practice Address - Fax:913-529-2900
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KVC BEHAVIORAL HEALTHCARE MISSOURI INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-30
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health