Organization
MOBILE MEDICAL II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN BERGETHON (CMO)
(315) 616-1055
Entity
Organization
Contact information
Practice address
345 N RIVERVIEW ST STE 500, WICHITA, KS 67203-4265
(315) 616-1055
(855) 633-0585
Mailing address
345 N RIVERVIEW ST STE 500, WICHITA, KS 67203-4265
(315) 616-1055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/29/2024
Last updated
08/01/2025
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