Provider Demographics
NPI:1174739734
Name:PSYCHIATRIC ASSOCIATES OF CENTRAL KANSAS, CHTD.
Entity type:Organization
Organization Name:PSYCHIATRIC ASSOCIATES OF CENTRAL KANSAS, CHTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KOFI
Authorized Official - Middle Name:A
Authorized Official - Last Name:ABABIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:785-309-0355
Mailing Address - Street 1:119 W IRON AVE FL 5
Mailing Address - Street 2:SUITE A
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-2600
Mailing Address - Country:US
Mailing Address - Phone:785-309-0355
Mailing Address - Fax:785-309-0184
Practice Address - Street 1:119 W IRON AVE FL 5
Practice Address - Street 2:SUITE A
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-2600
Practice Address - Country:US
Practice Address - Phone:785-309-0355
Practice Address - Fax:785-309-0184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-28506174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty