Organization
EDWARD J LIND II MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD JOHN LIND II M.D. (PRESIDENT)
(316) 788-1834
Entity
Organization
Contact information
Practice address
1431 S BLUFFVIEW DR, SUITE 102, WICHITA, KS 67218-3010
(316) 641-3922
Mailing address
606 S SHARON CT, DERBY, KS 67037-3607
(316) 788-1834
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0418244
KS
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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