Provider Demographics
NPI:1083785646
Name:DESIGNS BY DARRIS INC
Entity Type:Organization
Organization Name:DESIGNS BY DARRIS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARRIS
Authorized Official - Middle Name:WYNELL
Authorized Official - Last Name:WAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:BOC CERTIFICATION C1
Authorized Official - Phone:316-529-2727
Mailing Address - Street 1:1319 W 52ND ST SO
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67217-5031
Mailing Address - Country:US
Mailing Address - Phone:316-529-2727
Mailing Address - Fax:316-529-1183
Practice Address - Street 1:1319 W 52 SO
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67217-5031
Practice Address - Country:US
Practice Address - Phone:316-529-2727
Practice Address - Fax:316-529-1183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSC17484332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0305710001Medicare ID - Type Unspecified