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Organization
KANSAS FITNESS PHYSIO, PA
Active
Organization
KANSAS FITNESS PHYSIO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC DOUEK MPT (CEO)
(919) 327-7697
Entity
Organization
Contact information
Practice address
6100 E CENTRAL AVE, WICHITA, KS 67208-4244
(913) 229-4429
Mailing address
1714 CANTERBURY RD, RALEIGH, NC 27608-1110
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/14/2026
Last updated
09/02/2026
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