Ict Internal Medicine & Pain Management, LLC

NPI #1568910768 in Wichita, Kansas

Provider Information

NPI Number: 1568910768
Entity Type: Organization
Organization Name: Ict Internal Medicine & Pain Management, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 15, 2016
Last Updated: Mar 21, 2017

Practice Location

Address: 8710 W 13TH ST N
Address 2: SUITE 102
City: Wichita
State: Kansas
ZIP Code: 67212-6254
Phone: (316) 260-6363

Authorized Official

Name: ANGELA CARLSON
Title: PRACTICE MANAGER
Phone: (316) 260-6363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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