Individual provider · Type 1 NPI

Coresia Lashon Kirkendoll

Adult Care Home Facility · Wichita, KS

NPI number 1144964552 Active

Practice location

2758 N Wellesley Ave
Wichita, KS 67220-2408

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone listed

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1144964552

Coresia Lashon Kirkendoll's National Provider Identifier is 1144964552, issued on Apr 21, 2022. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Wichita, KS. The record was last updated on Apr 21, 2022.