Organization
IBRACE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA ANN WALDEN (ACCOUNT EXECUTIVE)
(501) 580-8038
Entity
Organization
Contact information
Practice address
1028 N CREST ST, WICHITA, KS 67206-7204
(501) 580-8038
Mailing address
4515 E CENTRAL AVE STE A, WICHITA, KS 67208-3915
(501) 580-8038
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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