ENNOBLE HC KS II LLC

WICHITA, KS
NPI1942182845
Entity TypeOrganization
Authorized ContactMARK BRADSHAW
Physician
551-295-8223
Organization Subpart ?No
Primary Taxonomy207QG0300X Family Medicine, Geriatric Medicine
Enumeration Date2025-07-22
Last Update Date2025-08-01
Business Address
ENNOBLE HC KS II LLC
801 E DOUGLAS AVE FL 2ND
WICHITA, KS 67202-3515
Phone number: 551-295-8223
Mailing Address
ENNOBLE HC KS II LLC
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601-6211
Phone number: 551-295-8223
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