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Individual

GERALD J ESTEP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
627 N LONGFORD LN, WICHITA, KS 67206-1817
(303) 807-3401
Mailing address
627 N LONGFORD LN, WICHITA, KS 67206-1817
(303) 807-3401

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
04-37560
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01268333
CO
05
122681900
WY
05
128299
AZ
05
200384230A
KS
05
S1893
NM
05
Z3285
UT
Enumeration date
02/08/2006
Last updated
12/31/2016
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