| Vcma Peds Neuro | |
|
848 N Saint Francis St Ste. 3949 Wichita KS 67214-3800 | |
| (316) 268-8040 | |
| (316) 291-4880 |
| Full Name | Vcma Peds Neuro |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 848 N Saint Francis St, Wichita, Kansas |
| Authorized Official Name and Position | Edward J Hett (PRESIDENT) |
| Authorized Official Contact | 3162688080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vcma Peds Neuro 848 N Saint Francis St Ste. 3949 Wichita KS 67214-3800 Ph: (316) 268-8040 | Vcma Peds Neuro 848 N Saint Francis St Ste. 3949 Wichita KS 67214-3800 Ph: (316) 268-8040 |
| NPI Number | 1205061017 |
|---|---|
| Provider Enumeration Date | 05/22/2009 |
| Last Update Date | 07/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205061017 | NPI | - | NPPES |
| 100723300D | Medicaid | OK | |
| PENDING | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
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