Individual
ANGELINA PILAR UNRUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7550 W VILLAGE CIR STE 1, WICHITA, KS 67205-9364
(316) 838-2020
(316) 838-7574
Mailing address
7550 W VILLAGE CIR STE 1, WICHITA, KS 67205-9364
(316) 838-2020
(316) 838-7574
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-02249
KS
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201263680A
—
KS
Enumeration date
05/29/2019
Last updated
09/10/2021
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