Individual
IAN BURFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
120 E 1ST ST N APT 6I, WICHITA, KS 67202-2044
(316) 641-8540
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO04214
—
224P00000X
Prosthetist
Primary
CPO04214
—
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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