Organization
WESLEY PHYSICIANS MEDICAL SPECIALTIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS FENDER (VP)
(303) 584-8111
Entity
Organization
Contact information
Practice address
2600 N WOODLAWN BLVD, WICHITA, KS 67220-2729
(316) 260-1690
(303) 584-8141
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 373-7406
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200770630A
—
KS
Enumeration date
06/07/2011
Last updated
11/24/2025
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