| Premise Health Of Kansas Medical, P.a. | |
|
293 S. Greenwich Rd, Bldg B089 Wichita KS 67207 | |
| (316) 515-5100 | |
| (316) 515-5110 |
| Full Name | Premise Health Of Kansas Medical, P.a. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 293 S. Greenwich Rd, Bldg B089, Wichita, Kansas |
| Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
| Authorized Official Contact | 6154686270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Kansas Medical, P.a. 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of Kansas Medical, P.a. 293 S. Greenwich Rd, Bldg B089 Wichita KS 67207 Ph: (316) 515-5100 |
| NPI Number | 1558103416 |
|---|---|
| Provider Enumeration Date | 06/11/2024 |
| Last Update Date | 06/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558103416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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