Individual
ANDREA B MCCARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8444 W 21ST ST N, WICHITA, KS 67205-1752
(316) 721-9500
(316) 721-9574
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9667
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-29279
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003719186
MEDICARE
—
05
—
100412290H
—
KS
Enumeration date
05/02/2006
Last updated
05/17/2014
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