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Individual

DR. MARK LAWRENCE PROCHASKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7011 W 121ST ST, STE 105, OVERLAND PARK, KS 66209-2029
(913) 345-1191
(913) 345-1464
Mailing address
7011 W 121ST ST, STE 105, OVERLAND PARK, KS 66209-2029
(913) 345-1191
(913) 345-1464

Taxonomy

Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
04-21187
KS
2084P0800X
Psychiatry Physician
04-21187
KS
2084P0802X
Addiction Psychiatry Physician
04-21187
KS
2084P0805X
Geriatric Psychiatry Physician
04-21187
KS

Other

Enumeration date
06/25/2005
Last updated
09/11/2025
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