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Individual

DR. OLUGBENGA O OSUNSANMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
6127 E CENTRAL AVE STE 200, WICHITA, KS 67208-4209
(316) 259-3413
(316) 260-2426
Mailing address
6127 E CENTRAL AVE STE 200, WICHITA, KS 67208-4209
(316) 259-3413
(316) 260-2426

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02151
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
140812
BLUE CROSS BLUE SHIELD
KS
01
14274
PHS
KS
05
200298830A
KS
01
203667
HPK
KS
01
P00237367
RR MEDICARE
KS
Enumeration date
05/01/2006
Last updated
11/05/2019
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