Individual
FANNETTE THORNHILL-SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 N HILLSIDE ST, BUILDING 1, 6TH FL, WICHITA, KS 67214-4910
(316) 962-7422
(316) 962-7805
Mailing address
550 N. HILLSIDE, BUILDING 1, 6TH FL, WICHITA, KS 67214
(316) 962-7422
(316) 962-7805
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30201
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100452250A
—
KS
01
—
102815
BCBS
KS
01
—
103699
HPK
KS
01
—
12149413
MULTIPLAN
KS
01
—
138700
COVENTRY
KS
01
—
6490
PHS
KS
Enumeration date
08/05/2006
Last updated
10/19/2016
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