At Provider Group of Kansas PA
NPI #1912777046 in Overland Park, Kansas
Provider Information
- NPI Number
- 1912777046
- Entity Type
- Organization
- Organization Name
- At Provider Group of Kansas PA
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Jan 9, 2024
- Last Updated
- Jan 9, 2024
Practice Location
- Address
- 9393 W 110TH ST STE 500
- City
- Overland Park
- State
- Kansas
- ZIP Code
- 66210-1464
- Phone
- (845) 769-8758
Authorized Official
- Name
- KARLA RENEE MULLINGS
- Title
- DIRECTOR OF COMPLIANCE
- Phone
- (834) 769-8758
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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