Individual
BENJAMIN R NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2535 E LINCOLN ST, WICHITA, KS 67211-3821
(316) 687-9794
(316) 689-6957
Mailing address
2535 E LINCOLN ST, WICHITA, KS 67211-3821
(316) 687-9794
(316) 689-6957
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0421469
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103550
MEDICARE
—
Enumeration date
01/12/2006
Last updated
07/25/2016
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