Organization
WICHITA UROLOGY GROUP P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TWILA PURITTY (CEO - ADMINISTRATOR)
(316) 636-6116
Entity
Organization
Contact information
Practice address
2626 N WEBB RD, WICHITA, KS 67226-8110
(316) 636-6100
(316) 636-5813
Mailing address
2626 N WEBB RD, WICHITA, KS 67226-8110
(316) 636-6100
(316) 636-5813
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100410100A
—
KS
Enumeration date
01/03/2006
Last updated
06/28/2018
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