Healing Waters Wichita Lc

NPI 1407144058 - General Practice - 208D00000X

NPI Details
NPI 1407144058
Enumeration Date 07/18/2011
Last Updated 03/30/2016
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name AMANDA AMANDA
Position PRESIDENT
Phone (316) 262-2995
Fax (316) 262-2546
Practice Location
2000 N ROCK RD
SUITE 100
WICHITA KS, 67206-1201, US
Phone (316) 262-2995
Fax (316) 262-2546
Business Location
33 BUFORD VILLAGE WAY
SUITE 325
BUFORD GA, 30518-8843, US
Phone (678) 730-7780
Fax (316) 262-2546
Toxanomy
Taxonomy Code 208D00000X
License State
License Number
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According to our database, Healing Waters Wichita Lc NPI is 1407144058, taxonomy code is 208D00000X Healing Waters Wichita Lc physically located at 2000 N Rock Rd, Wichita KS, 67206-1201. NPI Number 1033115704 has the healthcare provider type.

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1407144058 NPI number is provided on an as is basis without warranty of any kind. 1407144058 is maintained by the National Plan & Provider Enumeration System. The contents of Healing Waters Wichita Lc are for informational purposes only.