Organization
ROBERT REX LEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIA DENNE (MANAGER)
(316) 269-5000
Entity
Organization
Contact information
Practice address
6155 E HARRY ST, WICHITA, KS 67218-3827
(316) 682-1754
Mailing address
6155 E HARRY ST, WICHITA, KS 67218-3827
(316) 682-1754
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022464
BCBS
KS
01
—
110117665
RAIL ROAD MEDICARE
KS
Enumeration date
06/21/2006
Last updated
09/15/2009
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