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Contact Information

MIDWEST PSYCHIATRIC PA
5300 W 94TH TER STE 200
PRAIRIE VILLAGE, KS66207-2536
 Phone: 913-381-8555
 Fax: 913-677-2112
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for MIDWEST PSYCHIATRIC PA · (Female)

NPI Number 1154535060
Status Active
Credentials
Entity Individual
Enumeration date 05/09/2007
Last updated 06/05/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • KS License # 0427007
  • KS Medicaid 100384540B
  • MO Medicaid 203768908-A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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