KANSAS CARE CONNECT LLC NPI 1528756590

NPI Information

  • NPI: 1528756590
  • Provider Name: KANSAS CARE CONNECT, LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 7111 E 21ST ST N STE 104
    WICHITA, KS
    ZIP 67206
  • Phone: (316) 370-2406

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NPI Details

KANSAS CARE CONNECT, LLC is a multi-specialty clinic center in Wichita, KS. KANSAS CARE CONNECT, LLC NPI is 1528756590. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7111 E 21ST ST N STE 104
WICHITA, KS
ZIP 67206-090
Phone: (316) 370-2406
Fax: (316) 803-1462

The provider's authorized official is Rachael Rivero .
The authorized official title is Owner and has the following contact phone number (316) 370-2406.

The enumeration date for this NPI number is 4/27/2023 and was last updated on 7/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalNo
2163WC0400XRegistered NurseCase ManagementNo
3171M00000XCase Manager/Care CoordinatorNo
4175T00000XPeer SpecialistNo
5251B00000XCase ManagementNo
6363LA2200XNurse PractitionerAdult HealthNo
7363LG0600XNurse PractitionerGerontologyNo
8261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13000496982001MEDICAIDKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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