Individual
SOPHIA M ZINKOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
144 S HILLSIDE ST, WICHITA, KS 67211-2154
(316) 682-9900
(316) 682-0311
Mailing address
144 S HILLSIDE ST, WICHITA, KS 67211-2154
(316) 682-9900
(316) 682-0311
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04-28830
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100381950D
—
KS
01
—
274563042
TAX ID
—
Enumeration date
04/25/2006
Last updated
02/06/2020
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