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Contact Information

BLOSSOM AMECHI
10333 E 21ST ST N STE 101
WICHITA, KS67206-3544
 Phone: 316-684-1470
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Student Health

261QS1000X
Indicates primary specialty

NPI Profile & details for BLOSSOM AMECHI · (Female)

NPI Number 1831945443
Status Active
Credentials
Entity Individual
Enumeration date 04/24/2024
Last updated 02/25/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • KS License # 62240
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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