Individual
JEFFREY HYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 N KANSAS ST, WICHITA, KS 67214-3124
(316) 293-1818
Mailing address
1010 N KANSAS ST, WICHITA, KS 67214-3124
(316) 293-1818
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
94-09679
KS
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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