Individual
DR. BOUNSAVATH NOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1431 S BLUFFVIEW DR STE 116, WICHITA, KS 67218-3039
(316) 689-6004
(316) 613-2934
Mailing address
1431 S BLUFFVIEW DR STE 116, WICHITA, KS 67218-3039
(316) 689-6004
(316) 613-2934
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-24718
KS
Other
Enumeration date
09/14/2005
Last updated
04/19/2018
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