Organization
SIGNIFY HEALTH MEDICAL ASSOCIATES OF KANSAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FAIRCHILD (PRESIDENT AND CHIEF MEDICAL OFFICE)
(877) 868-5351
Entity
Organization
Contact information
Practice address
801 E DOUGLAS AVE FL 2, WICHITA, KS 67202-3548
(877) 868-5351
Mailing address
4055 VALLEY VIEW LN STE 700, DALLAS, TX 75244-5045
(877) 868-5351
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
10/26/2023
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