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WICHITA DIABETES AND ENDOCRINOLOGY LLC NPI 1770080673


NPI Information

NPI: 1770080673
Provider Name: WICHITA DIABETES AND ENDOCRINOLOGY, LLC
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

CLIA Number: 17D2150132

Address:
8110 E 32ND ST N STE 125
WICHITA, KS
ZIP 67226
Phone: (316) 330-3636
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WICHITA DIABETES AND ENDOCRINOLOGY, LLC is an endocrinology and diabetes and metabolism internal medicine in Wichita, KS. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. WICHITA DIABETES AND ENDOCRINOLOGY, LLC NPI is 1770080673. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

8110 E 32ND ST N STE 125
WICHITA, KS
ZIP 67226
Phone: (316) 330-3636
Fax: (844) 322-8797

The provider's authorized official is Shanon Ashley .
The authorized official title is Provider Enrollment and has the following contact phone number (316) 500-1303.

The CLIA number assigned to this NPI record is 17D2150132 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/9/2018 and was last updated on 2/22/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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