Organization
WICHITA PULMONARY CONSULTING, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIA DENNE (MANAGER)
(316) 269-5000
Entity
Organization
Contact information
Practice address
3600 E HARRY ST, WICHITA, KS 67218-3713
(316) 268-5000
Mailing address
PO BOX 220, ROSE HILL, KS 67133-0220
(316) 269-5000
(316) 269-0404
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0421905
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058980
BCBS
KS
05
—
100134240B
—
KS
Enumeration date
11/03/2006
Last updated
02/10/2009
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