Individual
RICHARD A CLAIBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 689-9325
(316) 689-9374
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9102
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
19208
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059909
MEDICARE
—
01
—
0599909
BCBS
KS
05
—
100182620B
—
KS
01
—
14689
COVENTRY
KS
01
—
200790
HPK
KS
Enumeration date
06/27/2006
Last updated
09/30/2016
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