MICHAEL J. KLEMENS (NPI# 1538311568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538311568 |
Entity Type | Individual |
Full Name | MICHAEL J. KLEMENS |
Credential | PH.D |
Practice Address |
1301 Ks Highway 264 Larned KS 67550-5353 |
Practice Telephone | 6202854040 |
Mailing Telephone | 6202854040 |
Enumeration Date | 2008-10-22 |
Last Update Date | 2009-10-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP 1821 | KS | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | KANSAS LICENSE NUMBER | LP 1821 | 01 |
Street Address |
1301 KS HIGHWAY 264 |
City | LARNED |
State | KS |
Zip Code | 67550-5353 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841315751 | Alexandra C Obiora-oputa | Psychiatry & Neurology | 1301 Ks Highway 264, Larned, KS 67550-5353 | 2007-03-20 |
1568086411 | Rebecca Jo Scripsick | Nurse Practitioner | 1301 Ks Highway 264, Larned, KS 67550-5353 | 2020-06-05 |
1396378741 | April Corellia Bradshaw | Nurse Practitioner | 1301 Ks Highway 264, 1301 Ks Highway 264, Larned, KS 67550 | 2020-02-13 |
1053892059 | Andy Roger Eugene | Psychiatry & Neurology | 1301 Ks Highway 264, Larned, KS 67550 | 2018-08-27 |
1144765173 | Michael Mohr | Nurse Practitioner | 1301 Ks Highway 264, Larned, KS 67550-5353 | 2016-12-29 |
1861947517 | Nikki H Howell | Nurse Practitioner | 1301 Ks Highway 264, Larned, KS 67550-5353 | 2016-08-23 |
1902237530 | Christine Muthoni Kithinji | Psychologist | 1301 Ks Highway 264, Larned, KS 67550-5353 | 2013-12-08 |
1487084695 | Angelina Maria Johnson | Psychologist | 1301 Ks Highway 264, Isaac Ray East 2, Larned, KS 67550-5353 | 2013-11-25 |
1588906051 | Sayed Shah Jehan | Psychiatry & Neurology | 1301 Ks Highway 264, Larned, KS 67550-5353 | 2013-03-22 |
1225301666 | Angela Burcham | Psychologist | 1301 Ks Highway 264, Larned, KS 67550-5353 | 2012-02-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427406784 | Amanda Haberman | Specialist/Technologist | 201 E 17th, Larned, KS 67550 | 2016-05-27 |
1619155512 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 908 E 14th St., Larned, KS 67550 | 2008-02-04 |
1801920699 | Bernadette Novotny | Physical Therapy Assistant | 1114 W 11 St, Learned, KS 67550 | 2007-03-15 |
1871699777 | Luis Alberto Perez | Chiropractor | 313 W 14th, Larned, KS 67550 | 2006-09-16 |
1245296821 | Smith Dental Clinic LLC | Dentist | 706 Ft Larnel Ave, Larnel, KS 67550 | 2006-04-24 |
1730140716 | Terry D Smith | Dentist | 706 Ft Larned Ave, Box 36, Larned, KS 67550 | 2006-03-30 |
1770115115 | Corinne Janel Wray | Student in an Organized Health Care Education/Training Program | 512 W 1st St, Larned, KS 67550 | 2020-02-04 |
1467413443 | Trent D Smith | Dentist | 706 Ft Larned Ave, Box 36, Larned, KS 67550 | 2006-03-30 |
1376577288 | Marcel Lacoste | Family Medicine | Box 89, Rural Route 3, Larned, KS 67550-0089 | 2006-07-10 |
1699881458 | Thomas A. Van Dillen | Psychologist | 1301 Ks Hwy 264, Larned, KS 67550-0089 | 2006-08-22 |
Find all providers in zip 67550 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780810879 | Mark Eugene Schutter | Psychologist | 300 Hillcrest Dr, Larned State Hospital, Larned, KS 67550-4000 | 2009-06-03 |
1700041456 | Gregory D. Shannon | Psychologist | 1301 Kansas Hwy 264, Larned, KS 67550-5353 | 2008-07-22 |
1487084695 | Angelina Maria Johnson | Psychologist | 1301 Ks Highway 264, Isaac Ray East 2, Larned, KS 67550-5353 | 2013-11-25 |
1225301666 | Angela Burcham | Psychologist | 1301 Ks Highway 264, Larned, KS 67550-5353 | 2012-02-15 |
1093086720 | Robin L. Karp | Psychologist | 1301 Ks Highway 264, Larned, KS 67550-5353 | 2012-01-26 |
1407187180 | Debra Lynn Vondracek | Psychologist | 1301 Ks Hwy 264, Larned, KS 67550-5353 | 2010-01-20 |
1487989141 | Kelly Christine Edison | Psychologist | 1301 Ks Hwy 264, Larned, KS 67550-5353 | 2009-10-13 |
1477707909 | Christina Eugenia Rudawski | Psychologist | 1301 Ks Hwy 264, Larned, KS 67550-5353 | 2008-11-11 |
1154589372 | Rebecca Anne Farr | Psychologist | 1301 Ks Highway 264, Larned, KS 67550-5353 | 2008-05-23 |
1306032982 | Callista Frye | Psychologist | 1301 Ks Highway 264, Larned, KS 67550-5353 | 2007-09-18 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.