NPI 1396082939

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Organisation Private Vehicle Wichita, KS

Practice location

Address: 4031 E Harry St, Wichita, KS 67218-3724
Phone: (316) 771-7290
Fax: (316) 771-7201

Authorised official

Name: Lupita Kendall
Title: Transportation Facilitator
Phone: (316) 727-6419

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence RS-WICR-13-435 (KS)

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Registry record

NPI: 1396082939
Entity type: Organization
NPI issued: 15 Jan 2013
Record last updated: 18 Jan 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.