Individual
RICHARD T FALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1708 E 23RD ST, HUTCHINSON, KS 67502
(620) 663-7187
(620) 663-6447
Mailing address
1851 N WEBB RD, ATTN FLR2, WICHITA, KS 67206-3413
(316) 636-2010
(316) 691-4472
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0413947
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0413947
STATE LICENSE
KS
05
—
100082640A
—
KS
01
—
CD2825
RAILROAD MEDICARE GROUP NUMBER
KS
01
—
P00466504
RAILROAD MEDICARE PTAN
KS
Enumeration date
03/01/2006
Last updated
05/07/2008
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