Organization
VIBRANT LIFE KANSAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AGHA JAMIL AHMED MD (OWNER)
(316) 448-3578
Entity
Organization
Contact information
Practice address
4510 W CENTRAL AVE, SUITE B, WICHITA, KS 67212-2203
(316) 448-3578
(316) 722-4776
Mailing address
4510 W CENTRAL AVE, SUITE B, WICHITA, KS 67212-2203
(316) 448-3578
(316) 722-4776
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
04-34135
KS
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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