Organization
THE WIG LADY
Active
Organization
THE WIG LADY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEEANN CALLAHAN OWNER HAIRSTYLIST (OWNER HAIRSTYLIST)
(316) 943-9447
Entity
Organization
Contact information
Practice address
4017 W 13TH, WICHITA, KS 67212
(316) 943-9447
(316) 943-9447
Mailing address
4017 W 13TH STREET, WICHITA, KS 67212
(316) 943-9447
(316) 943-9447
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
6601
KS
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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