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Individual

DR. PAUL OBRIEN MCKESEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
700 W CENTRAL, SUITE 203, EL DORADO, KS 67042
(316) 320-0500
(316) 321-0503
Mailing address
700 W CENTRAL AVE, STE 406, EL DORADO, KS 67042-2116
(316) 320-0500
(316) 321-0503

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0430284
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100642460A
KS
01
521450
FIRST GUARD
KS
Enumeration date
10/19/2006
Last updated
06/14/2019
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