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NPI 1811276405

OrganizationActive

Evergreen Wellnes Center

NPI 1811276405 · Point of Service · Wichita, KS

Provider details

NPI number: 1811276405
Entity type: Organization
Primary specialty: Point of ServiceManaged Care Organizations
Authorized official: Qizhi Gao, President
License: 2003012552 (MO)

Practice location

9235 E Harry St

Wichita, KS 67207-5073

Phone: (316) 691-8811

Fax: (316) 691-8868

More KS providers

Mailing address

9235 E Harry St

Wichita, KS 67207-5073

Registry dates

Enumerated: 2011-08-12
Last updated: 2011-08-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Evergreen Wellnes Center — NPI 1811276405, Wichita, KS | NPI Central