Organization
WEST WICHITA FAMILY PHYSICIANS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI WARD RN, BSN, MBA (DIRECTOR OF OPERATIONS)
(316) 722-6260
Entity
Organization
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100297730A
—
KS
01
—
110349
BLUE CROSS BLUE SHIELD
KS
01
—
CE7447
TRAVELERS MEDICARE
KS
Enumeration date
07/28/2006
Last updated
04/03/2019
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