Individual
EMMANUEL H NYANCHINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 S ROYAL ROAD, 1100 S ROYAL ROAD, WICHITA, KS 67207-2840
(318) 821-8639
(316) 613-8059
Mailing address
1100 S ROYAL ROAD, 1100 S ROYAL ROAD, WICHITA, KS 67207-2840
(316) 821-8639
(316) 613-8059
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
036-820900399F-01
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-820900399F-01
KANSAS WITH HOLDING TAX IDENTIFICATION NUMBER/ACCOUNT
KS
Enumeration date
06/23/2017
Last updated
06/23/2017
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