Individual
DR. LYLE ZEPICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
630 S HILLSIDE ST, WICHITA, KS 67211-2157
(316) 616-2020
(316) 616-2007
Mailing address
PO BOX 47624, WICHITA, KS 67201-7624
(316) 491-5926
(316) 491-5962
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19176
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100085080G
—
KS
01
—
106035
BLUE CROSS BLUE SHIELD
KS
01
—
60036269
RAILROAD MEDICARE
KS
Enumeration date
05/20/2006
Last updated
06/24/2008
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