Individual
TERRI D. WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 689-9886
(316) 689-9905
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26000
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059253
BCBS
KS
01
—
100371
HPK
KS
01
—
12149463
MULTIPLAN
KS
01
—
16973
COVENTRY
KS
01
—
3343
PHS
KS
Enumeration date
08/06/2006
Last updated
07/16/2007
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