Organization
ICT INTERNAL MEDICINE & PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA CARLSON (PRACTICE MANAGER)
(316) 260-6363
Entity
Organization
Contact information
Practice address
8710 W 13TH ST N, SUITE 102, WICHITA, KS 67212-6254
(316) 260-6363
(316) 260-6301
Mailing address
8710 W 13TH ST N, SUITE 102, WICHITA, KS 67212-6254
(316) 260-6363
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/15/2016
Last updated
03/21/2017
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