Individual
CHAMIL FERNANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3417 S MERIDIAN AVE, WICHITA, KS 67217-2151
(316) 866-2078
Mailing address
1150 N BROADWAY AVE, WICHITA, KS 67214-2805
(316) 866-2075
(316) 252-8784
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-03186
KS
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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