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Organization
BLUESTEM ACUPUNCTURE CLINIC OF KANSAS LLC
Active
Organization
BLUESTEM ACUPUNCTURE CLINIC OF KANSAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLEY VESTER-COUCH L.AC. (MANAGER)
(316) 285-8058
Entity
Organization
Contact information
Practice address
505 S BROADWAY AVE STE 100, WICHITA, KS 67202-3922
(316) 285-8058
Mailing address
505 S BROADWAY AVE STE 100, WICHITA, KS 67202-3922
(316) 285-8058
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
23-00016
KS
Other
Enumeration date
08/21/2018
Last updated
01/31/2019
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