| Centerwell Senior Primary Care (ks) Pa - Parklane | |
|
961 S Glendale St Wichita KS 67218-3210 | |
| (316) 618-9555 | |
| Not Available |
| Full Name | Centerwell Senior Primary Care (ks) Pa - Parklane |
|---|---|
| Speciality | Internal Medicine |
| Location | 961 S Glendale St, Wichita, Kansas |
| Authorized Official Name and Position | Megan Galvan (CREDENTIALING MANAGER) |
| Authorized Official Contact | 3055002000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerwell Senior Primary Care (ks) Pa - Parklane 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: () - | Centerwell Senior Primary Care (ks) Pa - Parklane 961 S Glendale St Wichita KS 67218-3210 Ph: (316) 618-9555 |
| NPI Number | 1013737576 |
|---|---|
| Provider Enumeration Date | 10/10/2024 |
| Last Update Date | 10/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013737576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
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