Doctor Name: | MR. KEVIN CONNAGHAN |
NPI Number: | 1033123963 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LSCSW |
License Number: | LSCSW 1687 |
Business Practice Address: | 4707 College Blvd Suite 213 Leawood, KS - 662111603 |
Business Phone Number: | 9136633000 |
Business Fax Number: | 9136631115 |
Mailing Address: | 4707 College Blvd, Suite 213 LEAWOOD |
State: | KS |
Postal Code: | 662111603 |
Phone Number: | 9136633000 |
Fax Number: | 9136631115 |
NPI Enumeration Date: | 07/28/2006 |
NPI Last Update Date: | 11/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LSCSW 1687 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |