Organization
UNIVERSITY OF KANSAS SCHOOL OF MEDICINE WICHITA MEDICAL PRACTICE ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS AARON RYAN RN, MBA, FACMPE (EXECUTIVE DIRECTOR)
(316) 293-2620
Entity
Organization
Contact information
Practice address
1001 N MINNEAPOLIS, WICHITA, KS 67214-3199
(316) 293-2620
(316) 293-1882
Mailing address
1010 N KANSAS, STE 3049, WICHITA, KS 67214-3199
(316) 293-2620
(316) 293-1882
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
02/15/2006
Last updated
04/04/2023
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