institution
Lifeline Stop Smoking Clinic, Llc
Health Service Clinic/Center in Wichita, Kansas
NPI 1477632578

Lifeline Stop Smoking Clinic, Llc is a Health Service Clinic/Center based in Wichita, KS and is specialized in Health Service. Lifeline Stop Smoking Clinic, Llc practices in Wichita, KS. The NPI Number for Lifeline Stop Smoking Clinic, Llc is 1477632578 and holds a License No. 17663 (Kansas).

The current practice location address for Lifeline Stop Smoking Clinic, Llc is 650 N Carriage Pkwy, Wichita, KS and can be reached out via phone at 316-640-0804 and via fax at 316-685-8247. You can also correspond with Lifeline Stop Smoking Clinic, Llc through the mailing address at 650 N CARRIAGE PKWY, WICHITA, KS - 67208-4507 (mailing address contact number: 316-640-0804).

Location: 650 N Carriage Pkwy, Wichita, KS, 67208-4507
institution
Provider Profile Details
NPI Number
1477632578
Provider Name
Lifeline Stop Smoking Clinic, Llc
Credential
Provider Entity Type
Organization
Address
650 N Carriage Pkwy, Wichita, KS, 67208-4507
Phone Number
316-640-0804
Fax Number
316-685-8247
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103516 01 KS BCBS NON-PAR. PROVIDER #
institution
Provider Business Practice Location Address Details
Address
650 N Carriage Pkwy
City
State
Zip
67208-4507
Phone Number
316-640-0804
Fax Number
316-685-8247
person
Provider Business Mailing Address Details
Address
650 N Carriage Pkwy
City
State
Zip
67208-4507
Phone Number
316-640-0804
Fax Number
316-685-8247
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
17663 (Kansas)
Definition
Definition to come...
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