Organization
WELLNITE MEDICAL GROUP OF KANSAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISA SWAN (CEO)
(877) 644-6008
Entity
Organization
Contact information
Practice address
1301 SW TOPEKA BLVD, TOPEKA, KS 66612-1942
(650) 761-9770
Mailing address
2261 MARKET ST # 4058, SAN FRANCISCO, CA 94114-1612
(855) 731-1410
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
02/02/2024
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