Addiction Toxicology of Kansas LLC

NPI #1356012181 in Wichita, Kansas

Provider Information

NPI Number: 1356012181
Entity Type: Organization
Organization Name: Addiction Toxicology of Kansas LLC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 22, 2021
Last Updated: Nov 9, 2021

Practice Location

Address: 3600 E HARRY ST
City: Wichita
State: Kansas
ZIP Code: 67218-3713
Phone: (316) 268-5000

Authorized Official

Name: ASHLEY M R HAYNES, MD
Title: OWNER
Phone: (252) 864-5790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Emergency Medicine - Medical Toxicology — Medical Toxicology	207PT0002X
Internal Medicine - Addiction Medicine — Addiction Medicine	207RA0401X
Internal Medicine	207R00000X	Primary

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