OrganizationActive
Lifeline Stop Smoking Clinic, LLC
NPI 1477632578 · Health Service Clinic/Center · Wichita, KS
Provider details
- NPI number
- 1477632578
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Timothy Scanlan, Owner/Managing Partner(316) 640-0804
- License
- 17663 (KS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
650 N Carriage Pkwy
Suite 135
Wichita, KS 67208-4507
Phone: (316) 640-0804
Fax: (316) 685-8247
Approximate (ZIP-level) locationGet directions
Mailing address
650 N Carriage Pkwy
Wichita, KS 67208-4507
Registry dates
- Enumerated
- 2006-11-02
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.