Individual
GRETCHEN JABARA HOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
620 N CARRIAGE PKWY, WICHITA, KS 67208-4501
(316) 962-3100
(316) 962-3132
Mailing address
620 N CARRIAGE PKWY, WICHITA, KS 67208-4501
(316) 962-3100
(316) 962-3132
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0432259
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000106896
BLUE CROSS /BLUE SHIELD
KS
01
—
106558
HEALTH PARTNERS OF KANSAS
KS
01
—
106896
MEDICARE
KS
05
—
200533360A
—
KS
01
—
2851379
UNITED HEALTH CARE
KS
Enumeration date
04/18/2007
Last updated
01/13/2022
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