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Contact Information

ANDREW DECLERK, MD
9350 E 35TH ST N STE 103
WICHITA, KS67226-2022
 Phone: 316-263-0296
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ANDREW DECLERK · (Male)

NPI Number 1124511399
Status Active
Credentials MD
Entity Individual
Enumeration date 06/12/2018
Last updated 10/09/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • KS License # 04-50892
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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