Individual
DAVID KEVIN KORTJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3133 S SENECA ST, WICHITA, KS 67217-3234
(316) 524-1613
(316) 524-5462
Mailing address
3133 S SENECA ST, WICHITA, KS 67217-3234
(316) 524-1613
(316) 524-5462
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-23268
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103346
BC/BS
KS
01
—
P00089261
MEDICARE RAILROAD
KS
Enumeration date
08/05/2006
Last updated
10/25/2007
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