Individual
NORMAN PAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 N WEBB RD, WICHITA, KS 67226-8123
(316) 462-5369
Mailing address
PO BOX 2874, WICHITA, KS 67201-2874
(316) 685-3698
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
04-17325
KS
2085R0202X
Diagnostic Radiology Physician
Primary
04-17325
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100055110B
—
OK
01
—
103351
BCBS
KS
05
—
200002290A
—
KS
01
—
P00095249
RAILROAD MEDICARE
—
Enumeration date
03/09/2006
Last updated
09/16/2013
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