Individual
JOHN B HAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1901 N MAIZE ROAD, WICHITA, KS 67212
(316) 462-1050
(316) 462-1053
Mailing address
1901 N MAIZE ROAD, WICHITA, KS 67212
(316) 462-1050
(316) 462-1053
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
T00130
KS
Other
Enumeration date
04/17/2006
Last updated
07/08/2007
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