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1720523251
KANSAS PLASTIC SURGERY, LLC
WICHITA, KS
NPI
1720523251
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Entity Type
Organization
Authorized Contact
KENTON W SCHOONOVER
Owner
316-305-9618
Organization Subpart ?
No
Primary Taxonomy
208200000X Plastic Surgery
(Licence: KS 04-27772)
Enumeration Date
2016-12-19
Last Update Date
2021-04-07
Business Address
KANSAS PLASTIC SURGERY, LLC
10111 E 21ST ST N STE 305
WICHITA, KS 67206-3581
Phone number: 316-305-9618
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Mailing Address
KANSAS PLASTIC SURGERY, LLC
10111 E 21ST ST N STE 305
WICHITA, KS 67206-3581
Phone number: 316-305-9618
Copy
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