Healthcare Provider Details

I. General information

NPI: 1598825606
Provider Name (Legal Business Name): WHOLEWOMAN CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 N SAINT FRANCIS ST
WICHITA KS
67214-2814
US

IV. Provider business mailing address

1150 N SAINT FRANCIS ST
WICHITA KS
67214-2814
US

V. Phone/Fax

Practice location:
  • Phone: 316-265-3800
  • Fax: 316-265-3801
Mailing address:
  • Phone: 316-265-3800
  • Fax: 316-265-3801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number05-20200
License Number StateKS

VIII. Authorized Official

Name: DR. LESLIE E. F. PAGE
Title or Position: OWNER
Credential: D.O.
Phone: 316-265-3800