Organization Name: | PRAIRIE GYNECOLOGY PA |
NPI Number: | 1952670077 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMY C SHORT (CHAIRMAN, BOARD OF DIRECTORS) |
Mailing Address: | 12115 E 21st St N Ste 107 Wichita |
State: | KS US |
Postal Code: | 672063567 |
Phone Number: | 3163052093 |
Fax Number: | |
NPI Enumeration Date: | 12/19/2011 |
NPI Last Update Date: | 12/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 0433994 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |