Organization
MENTAL HEALTH MEDICATION SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOB F. BORN APRN (PRESIDENT)
(316) 303-0333
Entity
Organization
Contact information
Practice address
1421 E 2ND ST N, WICHITA, KS 67214-4119
(316) 303-0333
(316) 847-7093
Mailing address
2718 W BENTBAY CIR, WICHITA, KS 67204-2335
(316) 208-8393
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
53-74595-091
KS
Other
Enumeration date
11/08/2017
Last updated
06/16/2018
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