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Individual

DR. KENNETH SULTEMEIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
501 MIDWESTERN PKWY E, WICHITA FALLS, TX 76302-2302
(940) 766-3551
Mailing address
501 MIDWESTERN PKWY E, WICHITA FALLS, TX 76302-2302
(940) 766-3551

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H0862
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1202004-04
TX
Enumeration date
01/06/2006
Last updated
02/26/2015
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