GLUTALITY PROVIDER GROUP OF KANSAS, PA.
NPI 1467042754
Internal Medicine in Wichita, KS

Q: What is Glutality Provider Group Of Kansas, PA.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since January 21, 2021

801 E DOUGLAS AVE FL 2, WICHITA, KS 67202(561) 678-2026 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 8, 2021, Jan 21, 2021 (2 updates tracked since 2021).

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About Glutality Provider Group Of Kansas, Pa. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLUTALITY PROVIDER GROUP OF KANSAS, PA. (NPI 1467042754) is a healthcare organization registered as an internal medicine in Wichita, Kansas and active in the NPI registry since January 2021. The organization lists Mitchell Stottland, Owner, as its authorized official.

NPPES Registry Identity

NPI1467042754

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameGLUTALITY PROVIDER GROUP OF KANSAS, PA.

Location Address801 E DOUGLAS AVE FL 2Wichita, KS 67202-3548

Mailing Address401 Fairway Dr Ste 200Deerfield Beach, FL 33441-1800 · (561) 678-2026

Phone(561) 678-2026

Organization SubpartNo

Authorized OfficialMitchell StottlandOwner · (561) 678-2026

Enumeration DateJanuary 21, 2021

Last NPPES UpdateJuly 21, 20252 updates tracked since enumeration

NPPES CertifiedJuly 21, 2025

✔ NPI 1467042754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

801 E DOUGLAS AVE FL 2, Wichita, KS 67202

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FORM ASSOCIATES, P.A.

Internal Medicine (Endocrinology, Diabetes & Metabolism)