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Individual

DR. ANGELA M LEIKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7111 E 21ST STREET N, SUITE A, WICHITA, KS 67206
(316) 684-2851
(316) 686-7338
Mailing address
7111 E 21ST STREET N, SUITE A, WICHITA, KS 67206
(316) 684-2851
(316) 686-7338

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-29457
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100416440A
KS
05
100428080A
KS
01
102253
BLUE CROSS INDIVIDUAL
KS
01
508190
FIRSTGUARD
KS
01
RAILROAD MEDICARE
INDIVIDUAL
KS
Enumeration date
06/28/2005
Last updated
10/16/2012
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