Organization
J R HENWOOD M.D.PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J R HENWOOD M.D. (OWNER-PRESIDENT)
(316) 686-6888
Entity
Organization
Contact information
Practice address
1515 S CLIFTON AVE, SUITE 300, WICHITA, KS 67218-2900
(316) 686-6888
(316) 686-9358
Mailing address
1515 S CLIFTON AVE, SUITE 300, WICHITA, KS 67218-2900
(316) 686-6888
(316) 686-9358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-20156
KS
Other
Enumeration date
09/16/2006
Last updated
07/18/2013
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