Individual
DR. CRAIG A WYMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15435 W 134TH PL, SUITE 101, OLATHE, KS 66062-6135
(913) 780-0030
(913) 782-2924
Mailing address
15435 W 134TH PL, SUITE 101, OLATHE, KS 66062-6135
(913) 780-0030
(913) 782-2924
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-17400
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200603610B
—
KS
Enumeration date
09/16/2006
Last updated
09/24/2014
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