Individual
PAUL CLELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 N EMPORIA ST, WICHITA, KS 67214-3707
(316) 858-3460
(316) 858-3458
Mailing address
707 N EMPORIA ST, WICHITA, KS 67214-3707
(316) 858-3460
(316) 858-3458
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
04-37601
KS
Other
Enumeration date
06/07/2012
Last updated
07/25/2016
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