Individual
CHARLES HENRY FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2600 N WOODLAWN BLVD, WICHITA, KS 67220-2729
(316) 684-3838
(316) 858-2521
Mailing address
2600 N WOODLAWN BLVD, WICHITA, KS 67220-2729
(316) 684-3838
(316) 858-2530
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-00518
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100340590H
—
KS
Enumeration date
11/19/2005
Last updated
07/31/2014
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