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Organization

WICHITA EAR CLINIC, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CARI D BARLETT (BILLING)
(316) 686-6608
Entity
Organization

Contact information

Practice address
9350 E CENTRAL AVE, WICHITA, KS 67206-2555
(316) 686-6608
(316) 686-3624
Mailing address
9350 E CENTRAL AVE, WICHITA, KS 67206-4999
(316) 686-6608
(316) 686-3624

Taxonomy

Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110245
BLUE CROSS/BLUE SHIELD KS
KS
01
3257
PREFERRED HEALTH SYSTEMS
KS
01
CD7286
RAILROAD MEDICARE
KS
Enumeration date
02/20/2006
Last updated
03/02/2022
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