Organization
KSPEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUTHUKUMAR VELLAICHAMY MD (OWNER)
(316) 516-2853
Entity
Organization
Contact information
Practice address
6446 E CENTRAL AVE, STE 183, WICHITA, KS 67206-1924
(316) 516-2853
Mailing address
6446 E CENTRAL AVE, STE 183, WICHITA, KS 67206-1924
(316) 516-2853
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
02/09/2024
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