# GREAT PLAINS DIABETES RESEARCH, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Great Plains Diabetes
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912316811
- **Authorized official:** MRS. RITA PEDIGO (OFFICE MANAGER)
- **Authorized official phone:** (316) 440-2802

## Contact information

- **Practice address:** 834 N SOCORA ST, SUITE 4, WICHITA, KS 67212
- **Practice address phone:** (316) 440-2802
- **Practice address fax:** (316) 440-2809
- **Mailing address:** 834 N SOCORA ST, SUITE 4, WICHITA, KS 67212-3279
- **Mailing address phone:** (316) 440-2802
- **Mailing address fax:** (316) 440-2809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364S00000X | Clinical Nurse Specialist | 74249 | KS | Yes |

## Other

- **Enumeration date:** 08/05/2014
- **Last updated:** 05/17/2018