Organization
LYLE ZEPICK, M.D. P.A.
Active
Other names
Zepick Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
LYLE ZEPICK M.D. (OWNER)
(316) 616-2020
Entity
Organization
Contact information
Practice address
630 S HILLSIDE ST, WICHITA, KS 67211-2157
(316) 491-5926
(316) 491-5962
Mailing address
PO BOX 47624, WICHITA, KS 67201-7624
(316) 491-5926
(316) 491-5962
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
04-19176
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111286
BLUE CROSS BLUE SHIELD
KS
05
—
200508600A
—
KS
01
—
CG1000
RAILROAD MEDICARE
KS
Enumeration date
12/28/2006
Last updated
08/27/2010
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