# MID KANSAS INTIMATE

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

## Provider details

- **NPI number:** 1629500020
- **Authorized official:** DR. RHEA AVONNE ROGERS MD (OWNER)
- **Authorized official phone:** (316) 685-1277

## Contact information

- **Practice address:** 9300 E 29TH ST N, SUITE 201, WICHITA, KS 67226-2182
- **Practice address phone:** (316) 685-1277
- **Mailing address:** 9300 E 29TH ST N, SUITE 201, WICHITA, KS 67226-2182
- **Mailing address phone:** (316) 685-1277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 0428905 | KS | Yes |

## Other

- **Enumeration date:** 04/03/2017
- **Last updated:** 04/03/2017
