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Individual

RAMONA K PESHEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 689-9107
(316) 689-9354
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9102

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29759
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102350
BCBS
KS
01
12149443
MULTIPLAN
KS
01
128181
COVENTRY
KS
01
14486
PHS
KS
01
203615
HPK
KS
Enumeration date
06/27/2006
Last updated
07/13/2007
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