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Organization
HEARTLAND ORIENTAL MEDICINE LLC
Active
Organization
HEARTLAND ORIENTAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KITTY WONG-ROBERTSON DOM (OWNER)
(316) 512-5585
Entity
Organization
Contact information
Practice address
215 S MAIZE RD STE 103, WICHITA, KS 67209-3146
(316) 512-5585
Mailing address
215 S MAIZE RD STE 103, WICHITA, KS 67209-3146
(316) 512-5585
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
NULL
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265744825
NPI
KS
Enumeration date
11/07/2017
Last updated
11/07/2017
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