Individual
KEISUKE ABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4976
(316) 962-2000
Mailing address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-2000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
04-48472
KS
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
04-48472
KS
Other
Enumeration date
06/14/2018
Last updated
10/04/2024
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