Wigal, Vonda M

Wigal, Vonda M is an individual health care provider with primary practice located at 7348 W 21St St N Ste 121 , Wichita KS 67205-1765. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wigal, Vonda M can be contacted via phone (316) 722-0103.

Contact Information

Primary practice address
7348 W 21St St N Ste 121 Wichita KS 67205-1765
Phone: (316) 722-0103
Fax: (316) 722-2223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 45218 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 45218 Kansas

Profile Details

NPI number 1427183227
LBN Legal business name Wigal, Vonda M
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Nov 12th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427183227 NPPES
Kansas Other 30000004RUWQEAU EHR CERTIFICATION
Kansas MEDICAID 200543290C EHR CERTIFICATION

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