National Provider Identifier Database

WICHITA MEDICAL ASSOCIATES PA
Geriatric Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.


Contact Information

WICHITA MEDICAL ASSOCIATES, PA
347 S LAURA ST
WICHITA, KS67211
Phone: 316-686-7117
Fax: 316-686-2679
Website:
Specialty Taxonomy Code
* Geriatric Medicine 207RG0300X
Gerontology 363LG0600X

* Indicates primary specialty

NPI Profile & details for WICHITA MEDICAL ASSOCIATES, PA

NPI Number 1396796991
Legal business name
LBN
WICHITA MEDICAL ASSOCIATES, PA
Authorized official KAREN HERNANDEZ - (PRACTICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 05/16/2006
Last updated 10/01/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • KS License #: 19204
  • KS License #: 44906
  • KS License #: 74898
  • KS Medicaid: 100004190A
  • KS Other: 016291 BCBS OF KANSAS
  • KS Other: CN3326 RAILROAD MEDICARE

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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