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Individual
DENNIS L SEWELL
Active
Individual
DENNIS L SEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00691
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12311
PREFERED HEALTH WICHITA
KS
05
—
200006380A
—
KS
05
—
200006380B
—
KS
05
—
200006380F
—
KS
01
—
427053
ABILENE BCBS
KS
Enumeration date
05/24/2005
Last updated
03/18/2020
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