Organization
KBS MEDICAL KANSAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KENNEDY (COO)
(212) 620-3053
Entity
Organization
Contact information
Practice address
4601 E DOUGLAS AVE STE 150, WICHITA, KS 67218-1011
(909) 679-3482
(844) 440-2410
Mailing address
169 MADISON AVE STE 15824, NEW YORK, NY 10016-5101
(909) 679-3482
(844) 440-2410
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/21/2026
Last updated
04/16/2026
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