Individual
DR. TERRY CARLSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-2877
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
04-18087
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025046
BCBS OF KS
KS
Enumeration date
12/08/2005
Last updated
07/08/2007
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