OrganizationActive
Prairie Endoscopy LLC
NPI 1699189043 · Endoscopy Clinic/Center · Wichita, KS
Provider details
- NPI number
- 1699189043
- Entity type
- Organization
- Primary specialty
- Endoscopy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeffrey Davis, Sole Owner(316) 440-7000
- License
- 04-30240 (KS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Practice location
12115 E 21st St N
Suite 107
Wichita, KS 67206-3567
Phone: (316) 440-7000
Fax: (316) 440-7006
Approximate (ZIP-level) locationGet directions
Mailing address
12115 E 21st St N
Wichita, KS 67206-3567
Registry dates
- Enumerated
- 2014-06-13
- Last updated
- 2014-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.