is a Geriatric Medicine in Wichita, Kansas. practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for is 1396796991. The last update date is .
's current location address is 347 S. Laura St., Wichita, Kansas. You can contact this provider via phone number 3166867117 and fax number 3166862679. The mailing address for is 347 S. Laura St., Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 347 S. Laura St., Wichita, Kansas |
Phone Number | 3166867117 |
Fax Number | 3166862679 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1396796991 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 347 S. Laura St. |
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City | Wichita |
State | Kansas (KS) |
Post Code | 672111518 |
Phone Number | 3166867117 |
Fax Number | 3166862679 |
Provider's Primary Taxonomy Detail
Speciality | Geriatric Medicine |
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Taxonomy | 207Rg0300X |
Licence No | 19204 |
Definition: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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100004190A | KS | -- | |
CN3326 | KS | RAILROAD MEDICARE | |
16291 | KS | BCBS OF KANSAS |
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