Individual
MICHAEL ANTONIO PALOMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7570 W. 21ST ST. N., BUILDING 1042 SUITE A, WICHITA, KS 67205
(316) 854-3526
Mailing address
7570 W. 21ST ST. N., BUILDING 1042 SUITE A, WICHITA, KS 67205
(316) 854-3526
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
046712
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200664530A
—
KS
Enumeration date
06/19/2007
Last updated
05/31/2016
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