National Provider Identifier Database

MENTAL HEALTH SPECIALTY GROUP KS PA
Addiction Medicine

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


Contact Information

MENTAL HEALTH SPECIALTY GROUP KS, P.A.
801 E DOUGLAS AVE
WICHITA, KS67202-3548
Phone: 323-205-7088
Fax:
Website:
Specialty Taxonomy Code
* Addiction Medicine 2084A0401X

* Indicates primary specialty

NPI Profile & details for MENTAL HEALTH SPECIALTY GROUP KS, P.A.

NPI Number 1063282390
Legal business name
LBN
MENTAL HEALTH SPECIALTY GROUP KS, P.A.
Authorized official GABRIEL DIOP - (AUTHORIZED AGENT)
Entity Organization
Organization subpart No
Enumeration date 01/08/2024
Last updated 09/12/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

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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