# WICHITA DIABETES AND ENDOCRINOLOGY, LLC

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

## Provider details

- **NPI number:** 1770080673
- **Authorized official:** AUBRY MAE BOYCE (CLINIC MANAGER)
- **Authorized official phone:** (316) 330-3636

## Contact information

- **Practice address:** 8110 E 32ND ST N STE 125, WICHITA, KS 67226-2644
- **Practice address phone:** (316) 330-3636
- **Practice address fax:** (866) 378-4552
- **Mailing address:** 8110 E 32ND ST N STE 125, WICHITA, KS 67226-2623
- **Mailing address phone:** (316) 330-3636
- **Mailing address fax:** (844) 322-8797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/09/2018
- **Last updated:** 11/01/2022