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NPI Profile for MENTAL HEALTH SPECIALTY GROUP KS PA in WICHITA, KS.
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2084A0401X | 79 | Physician/Addiction Medicine |
| NPI # | 1063282390 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/08/2024 | |
| Last updated | 09/12/2024 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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MENTAL HEALTH SPECIALTY GROUP KS, P.A.
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| JERALD W LEISY, M.D. P.A. 3310 EAST DOUGLAS AVE #101 WICHITA, KS |
| J. W, LEISY M.D.P.A. 3310 EAST DOUGLAS #101 WICHITA, KS |
MENTAL HEALTH SPECIALTY GROUP KS, P.A.