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Individual

DR. JERRY BEBE COHLMIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
818 N EMPORIA ST, SUITE 310, WICHITA, KS 67214-3729
(316) 263-5891
(316) 263-3083
Mailing address
818 N EMPORIA ST, SUITE 310, WICHITA, KS 67214-3729
(316) 263-5891
(316) 263-3083

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
04-14691
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
019479
BLUE CROSS BLUE SHIELD
KS
05
100163230A
KS
05
100194340A
OK
01
390003305
RAILROAD MEDICARE
01
619820
FIRSTGUARD
Enumeration date
05/12/2006
Last updated
03/29/2011
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