Organization
PREMONITION HEALTH LLC
Active
Other names
Premonition Health
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW L BEZZANT MD (PRESIDENT)
(316) 789-6049
Entity
Organization
Contact information
Practice address
1431 S BLUFFVIEW DR STE 210, WICHITA, KS 67218-3039
(316) 789-6049
(316) 867-6365
Mailing address
1431 S BLUFFVIEW DR STE 210, WICHITA, KS 67218-3039
(316) 789-6049
(316) 867-6365
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/02/2024
Last updated
01/07/2026
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