Individual
SUSAN L CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 N MINNEAPOLIS, WICHITA, KS 67214-3124
(316) 293-2647
(316) 293-1863
Mailing address
1010 N KANSAS, SUITE #3049, WICHITA, KS 67214-3199
(316) 293-2647
(316) 293-1863
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0421888
KS
2084P0805X
Geriatric Psychiatry Physician
0421888
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040390
BCBS
KS
Enumeration date
04/08/2006
Last updated
11/30/2007
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