| Traditions Health | |
|
3221 N Toben St Ste 200 Wichita KS 67226-2918 | |
| (316) 687-2273 | |
| (316) 768-2519 |
| Full Name | Traditions Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 3221 N Toben St Ste 200, Wichita, Kansas |
| Authorized Official Name and Position | John R Kerndl (CFO & SECRETARY) |
| Authorized Official Contact | 9797046547 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Traditions Health 6840 Carothers Pkwy Ste 550 Franklin TN 37067-8002 Ph: (979) 704-6547 | Traditions Health 3221 N Toben St Ste 200 Wichita KS 67226-2918 Ph: (316) 687-2273 |
| NPI Number | 1831817188 |
|---|---|
| Provider Enumeration Date | 08/22/2022 |
| Last Update Date | 06/21/2024 |
| Medicare PECOS PAC ID | 7517184302 |
|---|---|
| Medicare Enrollment ID | O20221021000918 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831817188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Casandra L Butler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023270014 PECOS PAC ID: 0244389427 Enrollment ID: I20090518000496 |
| Provider Name | Valerie D Koch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598920167 PECOS PAC ID: 6305978909 Enrollment ID: I20100716000785 |
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