Organization
HEALTHY OPTIONS FOR PLANEVIEW
Active
Other names
HEALTHY OPTIONS FOR KANSAS COMMUNITIES (HOP)
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUTH B PICKARD PH.D (EXECUTIVE DIRECTOR)
(316) 978-5637
Entity
Organization
Contact information
Practice address
3620 E SUNNYBROOK LN, SUITE C, WICHITA, KS 67210-1464
(316) 651-5357
(316) 651-5357
Mailing address
4501 E 47TH ST S, ROOM A104, WICHITA, KS 67210-1651
(316) 978-8011
(316) 554-2650
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60019
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000421786
DENTAL
KS
05
—
200370570A
—
KS
05
—
200370570B
—
KS
Enumeration date
04/25/2006
Last updated
07/08/2008
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