| Healthy Options For Kansas Communities (hop) | |
|
3620 E Sunnybrook Ln Suite C Wichita KS 67210-1464 | |
| (316) 651-5357 | |
| (316) 651-5357 |
| Full Name | Healthy Options For Kansas Communities (hop) |
|---|---|
| Speciality | Dentist |
| Location | 3620 E Sunnybrook Ln, Wichita, Kansas |
| Authorized Official Name and Position | Ruth B Pickard (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3169785637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Options For Kansas Communities (hop) 4501 E 47th St S Room A104 Wichita KS 67210-1651 Ph: (316) 978-8011 | Healthy Options For Kansas Communities (hop) 3620 E Sunnybrook Ln Suite C Wichita KS 67210-1464 Ph: (316) 651-5357 |
| NPI Number | 1528024742 |
|---|---|
| Provider Enumeration Date | 04/25/2006 |
| Last Update Date | 07/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528024742 | NPI | - | NPPES |
| 200370570B | Medicaid | KS | |
| 200370570A | Medicaid | KS | |
| 0000421786 | Other | KS | DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 60019 (Kansas) | Primary |
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