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Organization
HEALTH ATLAST WICHITA LLC
Active
Organization
HEALTH ATLAST WICHITA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIKA RICHARDSON-COOKS RN (DIRECTOR OF OPERATIONS)
(316) 806-0176
Entity
Organization
Contact information
Practice address
10111 E 21ST ST N STE 315, WICHITA, KS 67206-3581
(316) 807-0835
(316) 330-6704
Mailing address
10111 E 21ST ST N STE 315, WICHITA, KS 67206-3581
(316) 807-0835
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/09/2021
Last updated
01/21/2022
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