NPI 1063873354

Advanced Mens Health, LLC

Organisation Specialist Wichita, KS

Practice location

Address: 3460 N Ridge Road #90, Wichita, KS 67205-1222
Phone: (316) 689-9185
Fax: (316) 616-2095
Mailing address: 241 N Hillside, Wichita, KS 67214-6627

Authorised official

Name: Clay E Lyddane
Title: Owner
Phone: (316) 722-4725

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 0435145 (KS)

Other Specialist providers in Kansas →

Registry record

NPI: 1063873354
Entity type: Organization
NPI issued: 14 Mar 2016
Record last updated: 14 Mar 2016

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.