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Individual

STEVEN HENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2610 N WOODLAWN BLVD, WICHITA, KS 67220-2729
(316) 858-2610
(316) 858-2793
Mailing address
2610 N WOODLAWN BLVD, WICHITA, KS 67220-2729
(316) 858-2610
(316) 858-2793

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
04-23263
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100122880B
KS
05
100122880J
KS
05
100128240B
KS
05
100128240C
KS
01
100980
BLUE CROSS BLUE SHIELD
KS
01
640223
FIRST GUARD
KS
01
930112904
RAILROAD MEDICARE
KS
01
P00606970
PALMETTO (RRMC)
KS
Enumeration date
04/26/2006
Last updated
12/17/2010
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