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Organization

KANSAS MENTAL HEALTH MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TREVER KREHBIEL MD (MEDICAL DIRECTOR)
(316) 260-8700
Entity
Organization

Contact information

Practice address
6432 E 34TH ST N STE 100, WICHITA, KS 67226-2537
(316) 260-8700
(316) 201-1071
Mailing address
6432 E 34TH ST N STE 100, WICHITA, KS 67226-2537
(316) 260-8700
(316) 201-1071

Taxonomy

Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
03/01/2019
Last updated
03/01/2019
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