Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 97100005 | KS |
NPI | 1215307384 |
---|---|
Provider Name | Michelle Elisabeth Paakh |
First Address | Wichita, KS 67205-1931 |
Second Address | Newton, KS 67114-8816 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2015 |
Last Update Date | 14/12/2021 |