Provider Demographics
NPI:1437968674
Name:KANCOVER REHAB LLC
Entity type:Organization
Organization Name:KANCOVER REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:KRISTINE
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:785-407-7190
Mailing Address - Street 1:717 LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:KS
Mailing Address - Zip Code:67467-3005
Mailing Address - Country:US
Mailing Address - Phone:785-329-0388
Mailing Address - Fax:800-625-0441
Practice Address - Street 1:717 LAUREL ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:KS
Practice Address - Zip Code:67467-3005
Practice Address - Country:US
Practice Address - Phone:785-329-0388
Practice Address - Fax:800-625-0441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty