| Wichita East Clinic | |
|
1145 N Andover Rd Andover KS 67002-8900 | |
| (316) 733-4747 | |
| (316) 733-5253 |
| Full Name | Wichita East Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 1145 N Andover Rd, Andover, Kansas |
| Authorized Official Name and Position | Lisa H Le (OWNER) |
| Authorized Official Contact | 3167334747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wichita East Clinic 1145 N Andover Rd Andover KS 67002-8900 Ph: (316) 733-4747 | Wichita East Clinic 1145 N Andover Rd Andover KS 67002-8900 Ph: (316) 733-4747 |
| NPI Number | 1720261340 |
|---|---|
| Provider Enumeration Date | 12/06/2007 |
| Last Update Date | 04/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720261340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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