# WICHITA OB-GYN ASSOCIATES, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407886120
- **Authorized official:** MS. KRISTA LONG CPC (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (316) 685-0559

## Contact information

- **Practice address:** 551 N HILLSIDE ST, STE 510, WICHITA, KS 67214-4923
- **Practice address phone:** (316) 685-0559
- **Practice address fax:** (316) 685-0455
- **Mailing address:** PO BOX 3951, WICHITA, KS 67201-3951
- **Mailing address phone:** (316) 685-0559
- **Mailing address fax:** (316) 685-0455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 07/01/2021