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Contact Information

PREFERRED MEDICAL ASSOCIATES
1515 S CLIFTON AVE
STE. 130
WICHITA, KS67218-2900
 Phone: 316-689-5990
 Fax: 316-689-5999
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for PREFERRED MEDICAL ASSOCIATES · (Female)

NPI Number 1417241902
Status Active
Credentials
Entity Individual
Enumeration date 06/02/2011
Last updated 06/02/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • KS License # 04-31473
  • KS Medicaid PENDING
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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