- Practice location
- 801 E Douglas Ave Fl 2ND, Wichita, KS 67202-3515
- Phone
- 551-295-8223
- Fax
- —
- Last updated
- August 1, 2025
Ennoble Hc Ks III LLC is a healthcare organization based in Wichita, KS. Ennoble Hc Ks III LLC practices in Wichita, KS. The NPI Number for Ennoble Hc Ks III LLC is 1568344471. The current practice location address for Ennoble Hc Ks III LLC is 801 E Douglas Ave Fl 2ND, Wichita, KS 67202-3515 and can be reached out via phone at 551-295-8223.
Provider Profile Details
- NPI Number
- 1568344471
- Provider Name
- Ennoble Hc Ks III LLC
- Provider Entity Type
- Organization
- Address
- 801 E Douglas Ave Fl 2ND, Wichita, KS 67202-3515
- Phone Number
- 551-295-8223
- Primary Taxonomy
- Family Medicine, Geriatric Medicine · 207QG0300X
- Organization Subpart
- No
- Authorized Official
- Mark Bradshaw, MD · Physician · 551-295-8223
- Provider Enumeration Date
- July 22, 2025
- Last Update Date
- August 1, 2025
- Certification Date
- August 1, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 801 E Douglas Ave Fl 2ND
Wichita, KS 67202-3515 - City
- Wichita
- State
- Kansas
- Zip
- 67202-3515
- Phone Number
- 551-295-8223
Provider Business Mailing Address Details
- Address
- 2 University Plz Ste 204
Hackensack, NJ 07601-6211 - City
- Hackensack
- State
- NJ
- Zip
- 07601-6211
- Phone Number
- 551-295-8223
License Information
- Taxonomy
- Family Medicine, Geriatric Medicine · 207QG0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ennoble Hc Ks III LLC?
The NPI number of Ennoble Hc Ks III LLC is 1568344471. It was assigned on July 22, 2025 and is currently active in the NPPES registry.
What is the specialty of Ennoble Hc Ks III LLC?
Ennoble Hc Ks III LLC is registered under the primary taxonomy Family Medicine, Geriatric Medicine (code 207QG0300X).
Where does Ennoble Hc Ks III LLC practice?
The practice location is 801 E Douglas Ave Fl 2ND, Wichita, KS 67202-3515. The office can be reached at 551-295-8223 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568344471 directly on the NPPES registry website.