Ict Psychiatry LLC
Nurse Practitioner, Psych/Mental Health in Bel Aire, KS. Organization (NPI-2).
NPI number1073409348
StatusActive
Last updated in NPPESJun 14, 2025
Details
- NPI
- 1073409348
- Entity type
- Organization (NPI-2)
- Legal business name
- Ict Psychiatry LLC
- Organization subpart
- No
- Enumeration date
- Jun 14, 2025
- Certification date
- Jun 14, 2025
- Last updated
- Jun 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
6519 E 44th St NBel Aire, KS 67226-1483
Phone 316-847-2452
Mailing address
6519 E 44th St NBel Aire, KS 67226-1483
Phone 316-847-2452
Authorized official
Siegfried F Mboya
Pmhnp- Bc
3168472452
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