Individual
FIDEL EDMUNDO CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
929 N SAINT FRANCIS ST, EMERGENCY DEPT., WICHITA, KS 67214-3821
(316) 268-5775
(316) 291-7496
Mailing address
929 N SAINT FRANCIS ST, EMERGENCY DEPT., WICHITA, KS 67214-3821
(316) 268-5775
(316) 291-7496
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
04-34439
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-34439
KS LICENSE
KS
05
—
200656080A
—
KS
01
—
MT191671
COMMONWEALTH OF PENNSYLVANIA
PA
Enumeration date
11/21/2008
Last updated
08/25/2010
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