IndividualActive
Chishugi Omba
NPI 1134901499 · Personal Care Attendant · Wichita, KS
Provider details
- NPI number
- 1134901499
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1543 (KS)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
1603 N Spruce Ave
Wichita, KS 67214-2026
Phone: (316) 461-4764
Approximate (ZIP-level) locationGet directions
Mailing address
1603 N Spruce Ave
Wichita, KS 67214-2026
Registry dates
- Enumerated
- 2023-10-19
- Last updated
- 2023-10-19
- Certified
- 2023-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.