# MOBILE MEDICAL II, LLC

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

## Provider details

- **NPI number:** 1588409627
- **Authorized official:** KRISTIN BERGETHON (CMO)
- **Authorized official phone:** (315) 616-1055

## Contact information

- **Practice address:** 345 N RIVERVIEW ST STE 500, WICHITA, KS 67203-4265
- **Practice address phone:** (315) 616-1055
- **Practice address fax:** (855) 633-0585
- **Mailing address:** 345 N RIVERVIEW ST STE 500, WICHITA, KS 67203-4265
- **Mailing address phone:** (315) 616-1055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2024
- **Last updated:** 08/01/2025