The Wig Lady

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

6601 Issued in KS

Legal business name

THE WIG LADY

Practice address

4017 W 13TH
Wichita, KS 67212

Phone

(316) 943-9447

Fax

(316) 943-9447

NPI assigned

Jan 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Leeann Callahan, OWNER HAIRSTYLIST

Title

Owner Hairstylist

Phone

(316) 943-9447

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104963453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 W 13TH STREET",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67212",
            "telephone_number": "316-943-9447",
            "fax_number": "316-943-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 W 13TH",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67212",
            "telephone_number": "316-943-9447",
            "fax_number": "316-943-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WIG LADY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "LEEANN",
        "authorized_official_title_or_position": "OWNER HAIRSTYLIST",
        "authorized_official_telephone_number": "316-943-9447",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OWNER HAIRSTYLIST"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "KS",
            "license": "6601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.