| Wichita Endocrinology, Llc | |
|
1515 S Clifton Ave Suite 103 Wichita KS 67218-2900 | |
| (316) 777-6404 | |
| (316) 777-6600 |
| Full Name | Wichita Endocrinology, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1515 S Clifton Ave, Wichita, Kansas |
| Authorized Official Name and Position | Dee Antoinette Spade (OWNER) |
| Authorized Official Contact | 3167776404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wichita Endocrinology, Llc 1515 S Clifton Ave Suite 103 Wichita KS 67218-2900 Ph: (316) 777-6404 | Wichita Endocrinology, Llc 1515 S Clifton Ave Suite 103 Wichita KS 67218-2900 Ph: (316) 777-6404 |
| NPI Number | 1154708782 |
|---|---|
| Provider Enumeration Date | 05/04/2015 |
| Last Update Date | 05/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154708782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0527612 (Kansas) | Primary |
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