Individual
DR. KIMBERLY J PANKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5500 E KELLOGG DR, BH, WICHITA, KS 67218-1607
(316) 651-3621
(316) 634-3091
Mailing address
5500 E KELLOGG DR, BH, WICHITA, KS 67218-1607
(316) 651-3621
(316) 634-3091
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
0420958
KS
Other
Enumeration date
12/01/2005
Last updated
02/04/2008
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