Organization · Type 2 NPI

Ortholive Medical Group - KS Prof Corp

Multi-Specialty Clinic/Center · Wichita, KS

NPI number 1689569386 Active

Practice location

4601 E Douglas Ave Ste 150
Wichita, KS 67218-1032

Mailing address

1311 Vine St
Cincinnati, OH 45202-7118

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1689569386

Ortholive Medical Group - KS Prof Corp's National Provider Identifier is 1689569386, issued on Jun 11, 2025. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Wichita, KS. The record was last updated on Jun 11, 2025.