Ennoble Hc Ks III LLC

NPI #1568344471 in Wichita, Kansas

Provider Information

NPI Number
1568344471
Entity Type
Organization
Organization Name
Ennoble Hc Ks III LLC
Primary Specialty
Family Medicine - Geriatric Medicine
Enumeration Date
Jul 22, 2025
Last Updated
Aug 1, 2025

Practice Location

Address
801 E DOUGLAS AVE FL 2ND
State
Kansas
ZIP Code
67202-3515
Phone
(551) 295-8223

Authorized Official

Name
MARK BRADSHAW, MD
Title
PHYSICIAN
Phone
(551) 295-8223

Specialties & Taxonomy Codes

Specialty
Family Medicine - Geriatric MedicineGeriatric Medicine

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