Individual
MICHAEL G LUDLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8200 W CENTRAL AVE, SUITE 1, WICHITA, KS 67212-9503
(316) 722-6260
(316) 721-8307
Mailing address
8200 W CENTRAL AVE, SUITE 1, WICHITA, KS 67212-9503
(316) 722-6260
(316) 721-8307
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-20306
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051994
BLUE CROSS BLUE SHIELD
KS
01
—
080110394
TRAVLERS MEDICARE
KS
01
—
4082956
AETNA
KS
01
—
551
PREFERRED HEALTH SYSTEMS
KS
Enumeration date
08/28/2006
Last updated
10/28/2022
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