NPI | 1215635875 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY RAE JOHNSON Billing Director 785-320-6616 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) |
202D00000X Integrative Medicine | |
207QA0505X Family Medicine, Adult Medicine | |
207QB0002X Family Medicine, Bariatric Medicine | |
207RB0002X Internal Medicine, Bariatric Medicine | |
207VB0002X Obstetrics & Gynecology, Bariatric Medicine | |
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
2084B0002X Psychiatry & Neurology, Bariatric Medicine | |
2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
2084P0015X Psychiatry & Neurology, Psychosomatic Medicine | |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
2084P2900X Psychiatry & Neurology, Pain Medicine | |
208VP0000X Pain Medicine, Pain Medicine | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2023-02-22 |
Last Update Date | 2024-07-12 |