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Individual

GINO SALERNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(316) 268-5775
(316) 291-7496
Mailing address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(316) 268-5775
(316) 291-7496

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-00799
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
042108
BCBS
KS
05
100212200B
KS
05
100374070D
KS
01
9846
PREFERRED HEALTH SYSTEMS
KS
Enumeration date
09/22/2006
Last updated
04/19/2012
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