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Organization
MJM KANSAS INTERNAL MEDICINE, P.A.
Active
Organization
MJM KANSAS INTERNAL MEDICINE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH HORVATICH (DIRECTOR OF OPERATIONS)
(402) 614-4969
Entity
Organization
Contact information
Practice address
3161 N WEBB RD, WICHITA, KS 67226-8104
(316) 669-0777
(316) 669-0009
Mailing address
3161 N WEBB RD, WICHITA, KS 67226-8104
(316) 669-0777
(316) 669-0009
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
09/30/2021
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