Provider Demographics
NPI:1548679277
Name:WESTGATE, KARA
Entity type:Individual
Prefix:MRS
First Name:KARA
Middle Name:
Last Name:WESTGATE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2104 SE PEACE CT
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66605-2700
Mailing Address - Country:US
Mailing Address - Phone:785-554-0677
Mailing Address - Fax:785-271-0111
Practice Address - Street 1:1170 SW MISSION AVE STE B
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-1894
Practice Address - Country:US
Practice Address - Phone:785-554-0677
Practice Address - Fax:785-271-0111
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-06
Last Update Date:2017-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5363104100000X
KS46001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical