Organization
MIDWESTERN PODIATRY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THUY DUONG THI LE DPM (PODIATRIST)
(206) 375-8681
Entity
Organization
Contact information
Practice address
1740 N FAIRVIEW AVE, SUITE 200, WICHITA, KS 67203-2573
(206) 375-8681
Mailing address
1900 N AMIDON AVE, SUITE 200, WICHITA, KS 67203-2140
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
12-00429
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8550964
BUSINESS EID
KS
Enumeration date
02/06/2017
Last updated
02/06/2017
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