Individual
DR. TARA J NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2402 E 13TH ST N, WICHITA, KS 67214-2102
(316) 867-6444
(316) 867-6443
Mailing address
2402 E 13TH ST N, WICHITA, KS 67214-2102
(316) 867-6444
(316) 867-6443
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-32609
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200441990C
—
KS
Enumeration date
03/16/2006
Last updated
07/25/2023
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