Individual
MR. MITCHELL VERN POPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5401 COLLEGE BLVD, STE 203, LEAWOOD, KS 66211-1923
(913) 553-4614
(913) 553-4615
Mailing address
9415 E HARRY ST, STE 301, WICHITA, KS 67207-5089
(316) 927-3884
(316) 927-3886
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01245
KS
Other
Enumeration date
11/30/2005
Last updated
09/23/2011
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