Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wichita Nephrology Group, PA

Organization Ambulatory Surgical Clinic/Center · NPI 1396238010

Wichita Nephrology Group, PA is an Ambulatory Surgical Clinic/Center in Wichita, Kansas. Licensed in Kansas. Registered with an NPI since 2018.

Licensed in
KS
In the registry since
2018
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2122 N Garnett St
Wichita, KS 67206-3023
Phone: (316) 636-1234
Fax: (316) 636-2630
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 04-35548 (KS)

Record details

NPI number1396238010
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWichita Nephrology Group, PA
Authorized official Wissam Saliba — Director · (316) 263-5891
Other names Revask Surgery Center Llc
NPI enumeratedJune 7, 2018
Last updated in NPPESMarch 29, 2021
Certification dateMarch 29, 2021
Mailing address2122 N Garnett St, Wichita, KS 67206-3023

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