Most Relevant Information
Provider Data
| NPI Number: | 1003220245 |
| Provider Name: | STACEY R BOSCH |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/16/2014 |
| Last Updated: | 10/03/2023 |
Provider Practice Location
4300 BRENNER DR
KANSAS CITY
KS
661041163
Practice Location Phone/Fax
| Phone: | 9133224900 |
| Fax: |
Provider Mailing Location
325 SW FRAZIER AVE
TOPEKA
KS
666061963
Provider Mailing Phone/Fax
| Phone: | 7852325005 |
| Fax: |