# WHEAT STATE HOLISTIC HEALTH LLC

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

## Provider details

- **NPI number:** 1891442992
- **Authorized official:** DR. BRANDON JAMES BAILEY DNP, CRNA, FNP (MEMBER)
- **Authorized official phone:** (785) 806-3419

## Contact information

- **Practice address:** 1822 S LONGFELLOW CIR STE 10, WICHITA, KS 67207-3162
- **Practice address phone:** (316) 247-1178
- **Practice address fax:** (316) 252-1247
- **Mailing address:** 1822 S LONGFELLOW CIR STE 10, WICHITA, KS 67207-3162
- **Mailing address phone:** (316) 247-1178
- **Mailing address fax:** (316) 252-1247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/08/2022
- **Last updated:** 01/03/2024