BON NOLA, M.D. , LLC

WICHITA, KS
NPI1275715534
Entity TypeOrganization
Authorized ContactBOUNSAVATH NOLA
Owner
316-689-6004
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: KS  0424718)
Enumeration Date2007-11-28
Last Update Date2023-12-11
Business Address
BON NOLA, M.D. , LLC
804 S OLIVER AVE
WICHITA, KS 67218-2329
Phone number: 316-689-6004
Mailing Address
BON NOLA, M.D. , LLC
1431 S BLUFFVIEW DR S-116
WICHITA, KS 67218-3039
Phone number: 316-689-6004
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