Individual
LARRY A DERKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8200 W CENTRAL AVE, SUITE 1, WICHITA, KS 67212-9503
(316) 722-6260
(316) 721-8307
Mailing address
8200 W CENTRAL AVE, SUITE 1, WICHITA, KS 67212-9503
(316) 722-6260
(316) 721-8307
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
523839
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052013
BLUE CROSS BLUE SHIELD
KS
01
—
080110403
TRAVELERS MEDICARE
KS
01
—
2863
PREFERRED HEALTH SYSTEMS
KS
01
—
4332116
AETNA
KS
Enumeration date
08/11/2006
Last updated
02/14/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us