Individual
MARK L MEYERHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
5500 E KELLOGG DR, SUITE 1, WICHITA, KS 67218-1607
(316) 685-2221
(316) 681-5522
Mailing address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
(316) 681-5522
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00735
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100371870B
—
KS
Enumeration date
01/23/2006
Last updated
05/06/2013
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