Wellformed AI

NPI 1912082322 · live from the CMS NPI Registry

County Of Sedgwick

Psychiatry & Neurology, Psychiatry in Wichita, KS. National Provider Identifier 1912082322, active.

NPI record

NPI1912082322 Type 2 · organization
StatusActive
Primary specialtyPsychiatry & Neurology, Psychiatry 2084P0800X
Practice location1969 W 21st St N, Wichita, KS 67203
Practice phone316-660-7750
Mailing address635 N Main St, Wichita, KS 67203
EnumeratedOctober 25, 2006
Last updatedApril 3, 2024
Authorized officialJoan Tammany, Executive Director
Other namesComcare Community Support Services

Taxonomies and licenses

TaxonomyCodeLicense
Psychiatry & Neurology, Psychiatry primary2084P0800X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.