Individual
BRENT L ROCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-2026
(316) 962-3344
Mailing address
PO BOX 47490, WICHITA, KS 67201-7490
(316) 962-3150
(316) 962-7334
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
430503
KS
207R00000X
Internal Medicine Physician
04-30503
KS
208000000X
Pediatrics Physician
04-30503
KS
Other
Enumeration date
07/08/2006
Last updated
02/01/2023
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