PRAIRIE GYNECOLOGY PA

WICHITA, KS
NPI1952670077
Entity TypeOrganization
Authorized ContactAMY C SHORT
Chairman, Board Of Directors
316-305-2330
Organization Subpart ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: KS  0433994)
Enumeration Date2011-12-19
Last Update Date2011-12-19
Business Address
PRAIRIE GYNECOLOGY PA
12115 E 21ST ST N STE 107
WICHITA, KS 67206-3567
Phone number: 316-305-2093
Mailing Address
PRAIRIE GYNECOLOGY PA
13716 E MAINSGATE ST
WICHITA, KS 67228-8049
Phone number: 316-305-2093