Organization
A-LIST WIGS LLC
Active
Organization
A-LIST WIGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA WILKINSON (OWNER)
(816) 797-3764
Entity
Organization
Contact information
Practice address
7365 W 97TH ST, OVERLAND PARK, KS 66212-2210
(913) 291-0024
Mailing address
7365 W 97TH ST, OVERLAND PARK, KS 66212-2210
(913) 291-0024
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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