Individual
JOANNA M TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
(316) 634-3065
Mailing address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
(316) 634-3065
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
30108
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100456070A
—
KS
01
—
102933
BCBS
KS
01
—
103696
HPK
KS
01
—
12149486
MULTIPLAN
KS
01
—
165074
COVENTRY
KS
01
—
6696
PHS
KS
Enumeration date
08/05/2006
Last updated
02/02/2016
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