NPI 1104963453

The Wig Lady

Organisation Prosthetic/Orthotic Supplier Wichita, KS

Practice location

Address: 4017 W 13th, Wichita, KS 67212
Phone: (316) 943-9447
Fax: (316) 943-9447
Mailing address: 4017 W 13th Street, Wichita, KS 67212

Authorised official

Name: Leeann Callahan
Title: Owner Hairstylist
Phone: (316) 943-9447

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 6601 (KS)

Other Prosthetic/Orthotic Supplier providers in Kansas →

Registry record

NPI: 1104963453
Entity type: Organization
NPI issued: 30 Jan 2007
Record last updated: 22 Aug 2020

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.