| Pediatric Services | |
|
8700 East 29th Street North Wichita KS 67226-2169 | |
| (316) 634-8710 | |
| (316) 634-8850 |
| Full Name | Pediatric Services |
|---|---|
| Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
| Location | 8700 East 29th Street North, Wichita, Kansas |
| Authorized Official Name and Position | Julie Noller (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 3166348796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Services 8700 East 29th Street North Wichita KS 67226-2169 Ph: (316) 634-8710 | Pediatric Services 8700 East 29th Street North Wichita KS 67226-2169 Ph: (316) 634-8710 |
| NPI Number | 1447325105 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 06/09/2020 |
| Certification Date | 06/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447325105 | NPI | - | NPPES |
| 016140 | Other | KS | BCBS |
| 100007340B | Medicaid | KS |
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