Mh Health of Kansas, PA

NPI #1205497054 in Dodge City, Kansas

Provider Information

NPI Number
1205497054
Entity Type
Organization
Organization Name
Mh Health of Kansas, PA
Subpart
Yes (part of a larger organization)
Parent Organization
MH HEALTH OF KANSAS, PA
Primary Specialty
Nurse Practitioner
Enumeration Date
Jun 24, 2019
Last Updated
Jun 24, 2019

Practice Location

Address
2305 CENTRAL AVE
State
Kansas
ZIP Code
67801-6203
Phone
(620) 801-3320

Authorized Official

Name
NANCY CARLSON, MD
Title
PRESIDENT
Phone
(802) 857-0400

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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