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Individual

DR. THOMAS C KRYZER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9350 E CENTRAL AVE, WICHITA, KS 67206-2555
(316) 686-6608
(316) 686-3624
Mailing address
9350 E CENTRAL AVE, N/A, WICHITA, KS 67206-2555
(316) 686-6608
(316) 686-3624

Taxonomy

Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
04-25112
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
040010621
RAILROAD MEDICARE
KS
01
041857
BLUE CROSS
KS
05
100158980B
KS
01
3257
PHS-PPK
KS
01
48118525067206A002
CHAMPUS
KS
01
628540
FIRSTGUARD
KS
Enumeration date
06/01/2005
Last updated
11/21/2022
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