Medisource Healthcare Solutions, INC

NPI #1619354438 in Wichita, Kansas

Provider Information

NPI Number: 1619354438
Entity Type: Organization
Organization Name: Medisource Healthcare Solutions, INC
Primary Specialty: Contractor
Enumeration Date: Apr 30, 2015
Last Updated: Apr 30, 2015

Practice Location

Address: 6245 W KOLLMEYER CT
City: Wichita
State: Kansas
ZIP Code: 67205-5278
Phone: (316) 263-0776

Authorized Official

Name: JULIE FRAZIER
Title: OWNER
Phone: (316) 263-0776

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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