NPI 1811276405

Evergreen Wellnes Center

Organisation Point of Service Wichita, KS

Practice location

Address: 9235 E Harry St, Wichita, KS 67207-5073
Phone: (316) 691-8811
Fax: (316) 691-8868

Authorised official

Name: Qizhi Gao
Title: President
Phone: (913) 871-6308

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 2003012552 (MO)

Other Point of Service providers in Kansas →

Registry record

NPI: 1811276405
Entity type: Organization
NPI issued: 12 Aug 2011
Record last updated: 12 Aug 2011

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.