Organization
WEST WICHITA FAMILY PHYSICIANS, P.A.
Active
Other names
WEST WICHITA MINOR EMERGENCY OFFICE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI WARD RN,BSN,MBA (DIRECTOR OF OPERATIONS)
(316) 722-6260
Entity
Organization
Contact information
Practice address
8200 W CENTRAL AVE, SUITE 4, WICHITA, KS 67212-9503
(316) 721-4910
(316) 721-2004
Mailing address
8200 W CENTRAL AVE, SUITE 4, WICHITA, KS 67212-9503
(316) 721-4910
(316) 721-2004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110354
BLUE CROSS BLUE SHIELD
KS
01
—
CK4051
TRAVELERS MEDICARE
KS
Enumeration date
08/04/2006
Last updated
12/18/2007
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