Freestate - Primary Care in Wichita, KS

Freestate is a primary clinic (Clinic/center - Multi-specialty) in Wichita, Kansas. The current practice location for Freestate is 4723 E Douglas Ave, Wichita, Kansas. For appointments, you can reach them via phone at (888) 505-1776. The mailing address for Freestate is 4723 E Douglas Ave, Wichita, Kansas and phone number is (888) 505-1776.

Freestate is licensed to practice in Kansas (license number 04-33447) and its NPI number is 1013441930. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (888) 505-1776.

Contact Information

Freestate
4723 E Douglas Ave
Wichita
KS 67218-1012
(888) 505-1776
(888) 505-1776

Primary Care Clinic Profile

Full NameFreestate
SpecialityClinic/center - Multi-specialty
Location4723 E Douglas Ave, Wichita, Kansas
Authorized Official Name and PositionElisha Yaghmai (PRESIDENT)
Authorized Official Contact8885051776
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Freestate
4723 E Douglas Ave
Wichita
KS 67218-1012

Ph: (888) 505-1776
Freestate
4723 E Douglas Ave
Wichita
KS 67218-1012

Ph: (888) 505-1776

NPI Details:

NPI Number1013441930
Provider Enumeration Date04/18/2017
Last Update Date04/18/2017

Medical Identifiers

Medical identifiers for Freestate such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013441930NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 04-33447 (Kansas)Secondary
208000000XPediatrics 04-33447 (Kansas)Secondary
261QM1300XClinic/center - Multi-specialty 04-33447 (Kansas)Primary

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