Individual
DR. RANDY KIRK NEWBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
420 E. MAIN, BOX 37, MOUNT HOPE, KS 67108
(316) 667-2429
(316) 667-1150
Mailing address
8113 MEADOW PASS CT., WICHITA, KS 67205-1646
(316) 721-3949
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5674
KS
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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