Individual
DR. SAMUEL E FELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 685-6112
Mailing address
PO BOX 47340, WICHITA, KS 67201-7340
(316) 685-6112
(316) 652-0340
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
04-16293
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025047
BCBS OF KS
KS
05
—
100091690A
—
OK
05
—
100199060A
—
KS
01
—
220016268
RAILROAD MEDICARE
—
Enumeration date
12/08/2005
Last updated
12/05/2013
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