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Organization

RONALD C FERRIS MD

Active
Other names
HOLY FAMILY MEDICAL ASSOCIATES LLP
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA THANEL (OFFICE MANAGER)
(316) 682-9900
Entity
Organization

Contact information

Practice address
144 S HILLSIDE ST, WICHITA, KS 67211-2154
(316) 682-9900
(316) 682-0311
Mailing address
144 S HILLSIDE ST, WICHITA, KS 67211-2154
(316) 682-9900
(316) 682-0311

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
04-27664
KS
363A00000X
Physician Assistant
Primary
T02828
KS
363L00000X
Nurse Practitioner
46056
KS
363L00000X
Nurse Practitioner
46255
KS
363LF0000X
Family Nurse Practitioner
104077
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
111035
BCBS
KS
05
200362010A
KS
Enumeration date
09/20/2006
Last updated
10/07/2011
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