Organization
PSYCH-APRN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACY BARKER APRN (OWNER)
(316) 554-6711
Entity
Organization
Contact information
Practice address
402 N RACEHORSE ST, WICHITA, KS 67235-8516
(316) 554-6711
Mailing address
402 N RACEHORSE ST, WICHITA, KS 67235-8516
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/25/2021
Last updated
07/06/2023
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