Individual
DR. SHAWN WADSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7570 W. 21ST ST. N., BUILDING 1042 SUITE A, WICHITA, KS 67205-6720
(316) 854-3526
(316) 854-3511
Mailing address
7570 W. 21ST ST. N., BUILDING 1042 SUITE A, WICHITA, KS 67205-1236
(316) 854-3526
(316) 854-3511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
007851
AZ
207Q00000X
Family Medicine Physician
036147727
IL
207Q00000X
Family Medicine Physician
Primary
05-39265
KS
207Q00000X
Family Medicine Physician
11309988-1204
UT
207Q00000X
Family Medicine Physician
11317
SD
207Q00000X
Family Medicine Physician
1957
NE
207Q00000X
Family Medicine Physician
2015016398
MO
207Q00000X
Family Medicine Physician
41-321
WI
207Q00000X
Family Medicine Physician
64762
MN
207Q00000X
Family Medicine Physician
CDR.0000392
CO
207Q00000X
Family Medicine Physician
DO-05296
IA
207Q00000X
Family Medicine Physician
DO2940
ME
207Q00000X
Family Medicine Physician
OP60914447
WA
Other
Enumeration date
03/20/2013
Last updated
05/14/2020
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