Organization
WICHITA PARKINSON'S CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE LAURA WIDNELL M.D. (MANAGER)
(316) 712-4061
Entity
Organization
Contact information
Practice address
8338 W 13TH ST N, SUITE 217, WICHITA, KS 67212-2900
(316) 729-1135
(316) 729-1138
Mailing address
2250 N ROCK RD, SUITE 118-274, WICHITA, KS 67226-2331
(316) 712-4061
(316) 854-0106
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0432414
KS
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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