Organization
WEST SIDE MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HOLST (CEO)
(314) 221-7456
Entity
Organization
Contact information
Practice address
10346 E STONEGATE LN STE 600, WICHITA, KS 67206-2055
(316) 636-7900
(316) 636-7939
Mailing address
10346 E STONEGATE LN STE 600, WICHITA, KS 67206-2055
(316) 636-7900
(316) 636-7939
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
11/09/2011
Last updated
07/14/2026
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