Tracy Ensminger

NPI #1205284544 in Basehor, Kansas

Provider Information

NPI Number: 1205284544
Entity Type: Individual
Name: Tracy Ensminger
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: May 26, 2016
Last Updated: May 26, 2016

Practice Location

Address: 1106 N 155TH ST
Address 2: SUITE B
City: Basehor
State: Kansas
ZIP Code: 66007-7100
Phone: (913) 662-7071

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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