Organization
DEDICATED PHYSICIANS GROUP OF KANSAS LLC
Active
Parent organization
DEDICATED PHYSICIANS GROUP OF KANSAS LLC
Other names
DEDICATED SENIOR MEDICAL CENTER GLENDALE
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEDICATED PHYSICIANS GROUP OF KANSAS LLC
Authorized official
MARY CHEN (AUTHORIZED OFFICIAL)
(305) 628-6117
Entity
Organization
Contact information
Practice address
961 S GLENDALE ST, WICHITA, KS 67218-3210
(316) 618-9555
(316) 400-6513
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(305) 628-6117
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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