NPI 1235505850 · live from the CMS NPI Registry
Tyler Kilian, Nurse Practitioner
Nurse Practitioner, Psych/Mental Health in Wichita, KS. National Provider Identifier 1235505850, active.
NPI record
| NPI | 1235505850 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Psych/Mental Health 363LP0808X |
| Practice location | 5500 E Kellogg Dr, Wichita, KS 67218 |
| Practice phone | 316-685-2221 |
| Enumerated | August 18, 2015 |
| Last updated | October 15, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Psych/Mental Health primary | 363LP0808X | 77011 (KS) |
| Registered Nurse, Psych/Mental Health, Adult | 163WP0809X | 13-99252-052 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.