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Organization

ROBERT J DOEL VAMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS DOREEN ANN HANSON FRT (FRT)
(316) 685-2221
Entity
Organization

Contact information

Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
(316) 239-2744
Mailing address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
(316) 239-2744

Taxonomy

Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
1609826924
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1609826924
NPI
KS
Enumeration date
12/21/2015
Last updated
12/21/2015
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