# RONALD C FERRIS MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HOLY FAMILY MEDICAL ASSOCIATES LLP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164529368
- **Authorized official:** BRENDA THANEL (OFFICE MANAGER)
- **Authorized official phone:** (316) 682-9900

## Contact information

- **Practice address:** 144 S HILLSIDE ST, WICHITA, KS 67211-2154
- **Practice address phone:** (316) 682-9900
- **Practice address fax:** (316) 682-0311
- **Mailing address:** 144 S HILLSIDE ST, WICHITA, KS 67211-2154
- **Mailing address phone:** (316) 682-9900
- **Mailing address fax:** (316) 682-0311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 04-27664 | KS | — |
| 363A00000X | Physician Assistant | T02828 | KS | Yes |
| 363L00000X | Nurse Practitioner | 46056 | KS | — |
| 363L00000X | Nurse Practitioner | 46255 | KS | — |
| 363LF0000X | Family Nurse Practitioner | 104077 | KS | — |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 10/07/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 111035 | BCBS | KS |
| 05 | — | 200362010A | — | KS |