Keith E Spare is a Mental Health in Kansas City, Missouri. Keith E Spare practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Keith E Spare is 1669540878. The last update date is 2007-07-08.
Keith E Spare's current location address is 5128 Brookside Blvd, Kansas City, Missouri. You can contact this provider via phone number 8168894610 and fax number 8164744914. The mailing address for Keith E Spare is 5128 Brookside Blvd, Kansas City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith E Spare |
|---|---|
| Address | 5128 Brookside Blvd, Kansas City, Missouri |
| Phone Number | 8168894610 |
| Fax Number | 8164744914 |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1669540878 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5128 Brookside Blvd |
|---|---|
| City | Kansas City |
| State | Missouri (MO) |
| Post Code | 641122736 |
| Phone Number | 8168894610 |
| Fax Number | 8164744914 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 321 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 180 | MO | CSAC |
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What is the unique identifier code issued to Keith E Spare by the Centers for Medicare & Medicaid Services (CMS)?
The Keith E Spare has been assigned the NPI (National Provider Identifier) 1669540878. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Keith E Spare located?
The Keith E Spare is located at 5128 Brookside Blvd, Kansas City, MO 641122736.
What is Keith E Spare's specialized field of practice, and what is the corresponding taxonomy classification code?
The Keith E Spare's area of specialization is Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1669540878 to Keith E Spare?
The Centers for Medicare & Medicaid Services originally issued the 1669540878 to Keith E Spare on 2006-12-04.
When was the information pertaining to Keith E Spare most recently updated or revised?
The details related to Keith E Spare, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.