Individual
PAUL HENRY CHEATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10096 E 13TH ST N, STE 144, WICHITA, KS 67206-2645
(316) 634-6622
(316) 630-9461
Mailing address
15 S LYNWOOD BLVD, EASTBOROUGH, KS 67207-1037
(316) 558-8041
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
0428268
KS
207Q00000X
Family Medicine Physician
Primary
0428268
KS
Other
Enumeration date
04/24/2006
Last updated
09/11/2025
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