PRAIRIE GYNECOLOGY PA NPI 1952670077

NPI Information

PRAIRIE GYNECOLOGY PA is an obstetrics gynecology in Wichita, KS. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PRAIRIE GYNECOLOGY PA NPI is 1952670077. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12115 E 21ST ST N
STE 107
WICHITA, KS
ZIP 67206-567
Phone: (316) 305-2093

The provider's authorized official is Amy C Short .
The authorized official title is Chairman, Board Of Directors and has the following contact phone number (316) 305-2330.

The enumeration date for this NPI number is 12/19/2011 and was last updated on 12/19/2011.

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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