Individual
DR. GREGORY G FAIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2610 N WOODLAWN ST, WICHITA, KS 67220-2729
(316) 858-2610
(316) 858-2793
Mailing address
3800 E 93RD ST N, VALLEY CENTER, KS 67147-8716
(316) 650-2878
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0427023
KS
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
04-27023
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100294640H
—
KS
05
—
100294640L
—
KS
05
—
100294640M
—
KS
05
—
100294640W
—
KS
01
—
105234
BC/BS OF KANSAS
KS
05
—
200362720C
—
KS
01
—
P00615213
RR MC (PALMETTO)
KS
Enumeration date
08/21/2006
Last updated
12/22/2016
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