WICHITA PRIMARY CARE LLC NPI 1164908281

NPI Information

WICHITA PRIMARY CARE LLC is a family medicine in Wichita, KS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WICHITA PRIMARY CARE LLC NPI is 1164908281. The provider is registered as an organization entity type.

The provider's business location address is:

2230 N RIDGE RD
WICHITA, KS
ZIP 67205-053
Phone: (316) 448-8339
Fax: (316) 221-7149

The provider's authorized official is Heidi Larison .
The authorized official title is Owner and has the following contact phone number (316) 448-8339.

The CLIA number assigned to this NPI record is 17D2165531 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2018 and was last updated on 1/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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