NPI 1740420520

Premier Phlebology, LLC

Organisation Phlebology Physician Wichita, KS

Practice location

Address: 2350 N Greenwich Rd, Wichita, KS 67226-8269
Phone: (316) 617-5891
Mailing address: PO Box 47055, Wichita, KS 67201-7055

Authorised official

Name: Paul Cheatum
Title: President
Phone: (316) 617-5891

Registered specialties

Phlebology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202K00000X

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Registry record

NPI: 1740420520
Entity type: Organization
NPI issued: 6 Mar 2009
Record last updated: 6 Mar 2009

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.