KYLE ELLINGSEN

WICHITA, KS
NPI1558938597
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: KS  94-10662)
Enumeration Date2021-06-08
Last Update Date2021-06-08
Business Address
KYLE ELLINGSEN
1010 N KANSAS ST
WICHITA, KS 67214-3124
Phone number: 316-293-2665
Mailing Address
KYLE ELLINGSEN
1010 N KANSAS ST
WICHITA, KS 67214-3124
Phone number: 316-293-2665