Individual
STEPHANIE R FAWCETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-7190
Mailing address
551 N HILLSIDE ST, WICHITA, KS 67214-4923
(303) 306-7783
(316) 685-9388
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
KS-1502040
KS
363A00000X
Physician Assistant
Primary
1502040
KS
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/26/2017
Last updated
03/18/2026
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