Whalio Doctors

NPI 1063583862

Comprehensive Adult Medicine, PA

Organisation Specialist Wichita, KS

Practice location

Address
1355 North West Street, Wichita, KS 67203-1303
Phone
(316) 942-0221
Fax
(316) 942-6012
Mailing address
1355 N West St, Wichita, KS 67203-1303

Authorised official

Name
Carlene Denise Klassen
Title
Owner
Phone
(316) 942-0221

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence 04-24278 (KS)

Registry record

NPI
1063583862
Entity type
Organization
NPI issued
13 Nov 2006
Record last updated
13 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.