| Midwest Psychiatric Services, Llc | |
|
3334 N Grey Meadow Ct Wichita KS 67205-8716 | |
| (316) 992-7900 | |
| Not Available |
| Full Name | Midwest Psychiatric Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3334 N Grey Meadow Ct, Wichita, Kansas |
| Authorized Official Name and Position | Angie King (APRN) |
| Authorized Official Contact | 3169927900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Psychiatric Services, Llc 3334 N Grey Meadow Ct Wichita KS 67205-8716 Ph: (316) 992-7900 | Midwest Psychiatric Services, Llc 3334 N Grey Meadow Ct Wichita KS 67205-8716 Ph: (316) 992-7900 |
| NPI Number | 1134758683 |
|---|---|
| Provider Enumeration Date | 04/06/2020 |
| Last Update Date | 04/06/2020 |
| Certification Date | 04/06/2020 |
| Medicare PECOS PAC ID | 2567893225 |
|---|---|
| Medicare Enrollment ID | O20200513000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134758683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Angela D King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023058005 PECOS PAC ID: 8527045962 Enrollment ID: I20040702000458 |
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