Healthcare Provider Details

I. General information

NPI: 1487876207
Provider Name (Legal Business Name): VANESSA LYNN VOGE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VANESSA LYNN VOGE-BARNETT MD

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10111 E 21ST ST N STE 305
WICHITA KS
67206-3581
US

IV. Provider business mailing address

9300 E 29TH ST N STE 310
WICHITA KS
67226-2160
US

V. Phone/Fax

Practice location:
  • Phone: 316-777-6393
  • Fax: 316-712-4182
Mailing address:
  • Phone: 316-612-1833
  • Fax: 316-612-2420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number04-32662
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number04-32662
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: