Organization
ICT PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIEGFRIED F MBOYA NP (PMHNP- BC)
(316) 847-2452
Entity
Organization
Contact information
Practice address
6519 E 44TH ST N, BEL AIRE, KS 67226-1483
(316) 847-2452
Mailing address
6519 E 44TH ST N, BEL AIRE, KS 67226-1483
(316) 847-2452
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/14/2025
Last updated
06/14/2025
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