Individual
EDWARD JOHN LIND II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1431 S BLUFFVIEW, SUITE 102, WICHITA, KS 67218
(316) 687-0776
(316) 688-1512
Mailing address
1431 S BLUFFVIEW, SUITE 102, WICHITA, KS 67218
(316) 687-0776
(316) 688-1512
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-18244
KS
207QG0300X
Geriatric Medicine (Family Medicine) Physician
04-18244
KS
207QS0010X
Sports Medicine (Family Medicine) Physician
04-18244
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057455
BC/BS
KS
01
—
080147935
MEDICARE RAILROAD
KS
Enumeration date
08/05/2006
Last updated
04/06/2015
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