Individual
STANLEY L CAPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9211 E 21ST ST N, WICHITA, KS 67206-2968
(316) 609-4558
(316) 636-4076
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9102
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
14315
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000452
BCBS
KS
01
—
000452
MEDICARE
—
05
—
100081710A
—
KS
01
—
12149506
MULTIPLAN
KS
01
—
16881
COVENTRY
KS
01
—
200107
HPK
KS
Enumeration date
06/30/2006
Last updated
09/30/2016
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