Organization
WICHITA FAMILY MEDICINE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD C BROWN MD (PRESIDENT)
(316) 858-5800
Entity
Organization
Contact information
Practice address
800 N CARRIAGE PKWY, WICHITA, KS 67208-4508
(316) 858-5800
(316) 858-5868
Mailing address
800 N CARRIAGE PKWY, WICHITA, KS 67208-4508
(316) 858-5800
(316) 858-5868
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100393540A
—
KS
01
—
110664
BCBS
—
01
—
CH7861
RAILROAD MEDICARE
—
Enumeration date
03/31/2006
Last updated
12/11/2008
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