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1487480430
KYRSA INTHAVONGSAY
WICHITA, KS
NPI
1487480430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KS 11-07720)
Enumeration Date
2024-09-09
Last Update Date
2024-09-13
Business Address
KYRSA INTHAVONGSAY
2243 S MERIDIAN AVE STE 105
WICHITA, KS 67213-1911
Phone number: 316-942-5448
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Mailing Address
KYRSA INTHAVONGSAY
1650 LYNDON FARM CT STE 300
LOUISVILLE, KY 40223-5005
Phone number: 726-202-3039
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