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Contact Information

SHANA K THONGPHALA
1151 N ROCK RD
WICHITA, KS67206-1262
 Phone: 316-777-7077
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for SHANA K THONGPHALA · (Female)

NPI # 1992661821
Status Active
Credentials
Entity Individual
Enumeration date 01/05/2026
Last updated 01/05/2026 - About 5 months ago
Sole proprietor 1 No
Identifiers
  • KS License # 13-126239
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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