Organization
ADDICTION SPECIALISTS OF KANSAS, INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNE M DOLAN (PRACTICE MANAGER)
(316) 685-4700
Entity
Organization
Contact information
Practice address
650 N CARRIAGE PARKWAY, SUITE 135, WICHITA, KS 67208-4514
(316) 685-4700
(316) 685-8247
Mailing address
650 N CARRIAGE PARKWAY, SUITE 135, WICHITA, KS 67208-4514
(316) 685-4700
(316) 685-8247
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
447
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116023
BCBS PROVIDER NUMBER
KS
Enumeration date
10/02/2006
Last updated
08/22/2020
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