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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 Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
Indicates primary specialty

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

NPI Number 1063282390
LBN Legal business name MENTAL HEALTH SPECIALTY GROUP KS, P.A.
Authorized official GABRIEL DIOP - (AUTHORIZED AGENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/08/2024
Last updated 09/12/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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