Individual
GILBERT CHESIRE KISANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-2000
(303) 306-7753
Mailing address
PO BOX 5183, DENVER, CO 80217-5183
(303) 306-7101
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9408067
KS
208M00000X
Hospitalist Physician
Primary
04-39632
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-39632
KANSAS MEDICAL LICENSE
KS
Enumeration date
06/28/2013
Last updated
01/27/2017
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