Individual
PATRICIA A BLEDSOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2456 N WOODLAWN BLVD, STE 200, WICHITA, KS 67220-3968
(316) 866-2905
(316) 558-3392
Mailing address
2456 N WOODLAWN BLVD, STE 200, WICHITA, KS 67220-3968
(316) 866-2905
(316) 558-3392
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0429547
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100455070B
—
KS
01
—
105335
BLUE CROSS BLUE SHIELD
—
01
—
510370
FIRST GUARD
—
Enumeration date
07/27/2006
Last updated
04/26/2012
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