Individual
MR. CHARLES ROY WHITFILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
655 N WOODLAWN ST, WICHITA, KS 67208
(316) 684-5158
(316) 681-1005
Mailing address
1851 N WEBB RD, WICHITA, KS 67206-3413
(316) 691-4449
(316) 691-4408
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
04-31260
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045575001
—
TX
05
—
200316860A
—
KS
01
—
87403K
BCBSTX
TX
Enumeration date
05/24/2005
Last updated
07/09/2018
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