Organization
ICT VENTURE GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE ROGERS (OWNER)
(316) 727-9951
Entity
Organization
Contact information
Practice address
2552 N MAIZE CT STE 500, WICHITA, KS 67205-7344
(316) 448-3880
Mailing address
345 S BELMONT ST, WICHITA, KS 67218-1305
(316) 727-9951
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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