KELLY EGGIMANN LAC
NPI 1639583115
Counselor - Addiction (Substance Use Disorder) in Shawnee, KS

Q: What is Kelly Eggimann's NPI number?

The NPI number for Kelly Eggimann is 1639583115. It was assigned to this individual provider in the NPPES registry on June 12, 2014.

Q: What is Kelly Eggimann's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Eggimann was last updated on June 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 12, 2014

12510 W 62ND TER, SUITE 109, SHAWNEE, KS 66216(913) 766-1587(913) 766-1668 Get Directions Write a Review

NPPES record last updated: June 12, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly Eggimann Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY EGGIMANN LAC (NPI 1639583115) is an individual addiction (substance use disorder) provider in Shawnee, Kansas, licensed in Kansas (295) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1639583115

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameKELLY EGGIMANNCredential: LAC

Location Address12510 W 62ND TER, SUITE 109Shawnee, KS 66216-1802

Mailing Address130 E 5th St, Po Box 711Newton, KS 67114-2206 · (316) 283-6743 · Fax (316) 283-6830

Phone(913) 766-1587

Fax(913) 766-1668

Sole ProprietorNo

Enumeration DateJune 12, 2014

✔ NPI 1639583115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in KS · 295

12510 W 62ND TER, Shawnee, KS 66216

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Other Identifiers 1

Medicaid100106710 IKS

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDERSON FAMILY CHIROPRACTIC, LLC

Chiropractor

12510 W 62ND TER, SUITE 101
SHAWNEE, KS 66216

Johnson County (913) 962-2244

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Eggimann's NPI number?

The NPI number for Kelly Eggimann is 1639583115. It was assigned to this individual provider in the NPPES registry on June 12, 2014.

Where is Kelly Eggimann located?

Kelly Eggimann practices at 12510 W 62nd Ter Suite 109, Shawnee, KS 66216. The listed phone number is (913) 766-1587.

What is Kelly Eggimann's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kelly Eggimann was last updated on June 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.