Individual
OFELIA HARRISON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6611 E CENTRAL AVE, WICHITA, KS 67206-1937
(316) 685-6091
Mailing address
9313 E 34TH ST N, WICHITA, KS 67226-2621
(316) 685-6091
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
04-29838
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103966
BCBS
KS
Enumeration date
06/02/2006
Last updated
07/08/2007
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