Individual
JASON A HAMPL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 N WOODLAWN BLVD, WICHITA, KS 67220-2729
(316) 684-3838
(316) 858-2527
Mailing address
2600 N WOODLAWN BLVD, WICHITA, KS 67220-2729
(316) 684-3838
(316) 858-2527
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0431029
KS
207Q00000X
Family Medicine Physician
Primary
431029
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104658
BC/BS
KS
05
—
200335640A
—
KS
05
—
200335640E
—
KS
05
—
200335640F
—
KS
01
—
927681
FIRST GUARD
KS
Enumeration date
07/15/2006
Last updated
04/21/2014
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