Organization
PERSONAL IMAGE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ANNA ROBERTS RFM (PERSIDENT)
(316) 260-8260
Entity
Organization
Contact information
Practice address
1905 N MAIZE RD, WICHITA, KS 67212-5203
(316) 260-8260
(316) 260-8266
Mailing address
1905 N MAIZE RD, WICHITA, KS 67212-5203
(316) 260-8260
(316) 260-8266
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CFM00705
KS
Other
Enumeration date
05/22/2006
Last updated
04/10/2008
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