Mr John H Koppenhaver Iv, MA, LCP in Andover, KS - Psychologist

Mr John H Koppenhaver Iv, MA, LCP is a Psychologist based in Andover, Kansas. Mr John H Koppenhaver Iv is licensed to practice in Kansas (license number LCP 248) and his current practice location is 217 W Ira Ct, Andover, Kansas. He can be reached at his office (for appointments etc.) via phone at (316) 733-5047.

NPI number for Mr John H Koppenhaver Iv is 1447281357 and his current mailing address is 227 N Edgemoor St, Wichita, Kansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447281357.

Contact Information

	Mr John H Koppenhaver Iv, MA, LCP
	217 W Ira Ct, Andover, KS 67002-9469
	(316) 733-5047
	(316) 733-5060

Healthcare Provider's Profile

Full Name	Mr John H Koppenhaver Iv
Gender	Male
Speciality	Psychologist
Location	217 W Ira Ct, Andover, Kansas
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1447281357
Provider Enumeration Date: 07/06/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr John H Koppenhaver Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447281357	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	LCP 248 (Kansas)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr John H Koppenhaver Iv is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr John H Koppenhaver Iv, MA, LCP 227 N Edgemoor St, Wichita, KS 67208-4420 Ph: (316) 684-3688	Mr John H Koppenhaver Iv, MA, LCP 217 W Ira Ct, Andover, KS 67002-9469 Ph: (316) 733-5047

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Psychologist in Andover, KS

Danielle Leigh Forbes, TLMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 221 E King St, Andover, KS 67002 Phone: 316-733-5047
Jenna Sue Fountain, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 221 E King St, Andover, KS 67002 Phone: 316-733-5047
Jill Roberts, LMLP Psychologist Medicare: Medicare Enrolled Practice Location: 217 W Ira Ct, Andover, KS 67002 Phone: 316-733-5047
Darci Elizabeth Klein, MS Psychologist Medicare: Medicare Enrolled Practice Location: 217 W Ira Ct, Andover, KS 67002 Phone: 316-733-5047
Jared Samuel Ohm, TLMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 217 W Ira Ct, Andover, KS 67002 Phone: 316-733-5047
Katherine Rayne Leahy, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 217 W Ira Ct, Andover, KS 67002 Phone: 316-733-5047

Mr John H Koppenhaver Iv, MA, LCP - Psychologist in Andover, KS