Organization
KANSAS PSYCHIATRIC AND WELLNESS SERVICES
Active
Other names
KPAWS, Kansas Psychiatric and Wellness Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER KIRKWOOD APRN (OWNER)
(316) 691-8504
Entity
Organization
Contact information
Practice address
205 S 4TH ST STE B12, MANHATTAN, KS 66502-6166
(316) 691-8504
(949) 863-8565
Mailing address
205 S 4TH ST STE B12, MANHATTAN, KS 66502-6166
(316) 691-8504
(949) 863-8565
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53-75194
KS LICENSE
KS
Enumeration date
10/15/2021
Last updated
04/14/2022
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