Provider Demographics
NPI:1902951668
Name:PAYROLL PLUS OF KANSAS, INC.
Entity type:Organization
Organization Name:PAYROLL PLUS OF KANSAS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES.
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:J
Authorized Official - Last Name:KOEHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-846-2658
Mailing Address - Street 1:8505 DD RD
Mailing Address - Street 2:
Mailing Address - City:MONTEZUMA
Mailing Address - State:KS
Mailing Address - Zip Code:67867-8849
Mailing Address - Country:US
Mailing Address - Phone:620-846-2658
Mailing Address - Fax:620-846-2340
Practice Address - Street 1:8505 DD RD
Practice Address - Street 2:
Practice Address - City:MONTEZUMA
Practice Address - State:KS
Practice Address - Zip Code:67867-8849
Practice Address - Country:US
Practice Address - Phone:620-846-2658
Practice Address - Fax:620-846-2340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS225C00000X, 251E00000X, 332BC3200X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorGroup - Multi-Specialty
Not Answered251E00000XAgenciesHome Health
Not Answered332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Not Answered3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty