Individual
DEBORAH L OUTWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 N CARRIAGE PKWY, WICHITA, KS 67208-4508
(316) 858-5800
(316) 858-5850
Mailing address
800 N CARRIAGE PKWY, WICHITA, KS 67208-4508
(316) 858-5800
(316) 858-5850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-27111
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100340970B
—
KS
01
—
103245
BCBS O F KANSAS
KS
01
—
665231
FIRSTGUARD
KS
Enumeration date
05/17/2006
Last updated
09/10/2014
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