Organization
DORIS' WIG BOUTIQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA ANN WHITE (PRESIDENT)
(913) 649-0444
Entity
Organization
Contact information
Practice address
8100 MARTY ST, SUITE 104, OVERLAND PARK, KS 66204-3738
(913) 649-0444
(913) 649-0130
Mailing address
8100 MARTY ST, SUITE 104, OVERLAND PARK, KS 66204-3738
(913) 649-0444
(913) 649-0130
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
15848
KS
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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