# MH HEALTH OF KANSAS, PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MH HEALTH OF KANSAS, PA
- **Other names:** Tyson Finney County @ Marathon Health
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1275122723
- **Legal business name:** MH HEALTH OF KANSAS, PA
- **Authorized official:** NANCY CARLSON MD (PRESIDENT)
- **Authorized official phone:** (802) 857-0400

## Contact information

- **Practice address:** 2051 MARY STREET, GARDEN CITY, KS 67846
- **Practice address phone:** (802) 857-0400
- **Mailing address:** 20 WINOOSKI FALLS WAY STE 400, WINOOSKI, VT 05404-2239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/11/2021
- **Last updated:** 01/11/2021
