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NPI Code Detail

MEDICARE: RICHARD L HULL DO

MEDICARE: RICHARD L HULL DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician05-16908KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114988193
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD L HULL DO
Provider Business Mailing Address
First Line : PO BOX 764
Second Line :
City : WICHITA
State : KS
Zip : 67201-0764
Country : US
Telephone Number : 620-365-6933
Fax Number : 620-365-8126
Provider Business Practice Location Address
First Line : 401 S WASHINGTON AVE
Second Line :
City : IOLA
State : KS
Zip : 66749-3256
Country : US
Telephone Number : 620-365-6933
Fax Number : 620-365-8126
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2006
Last Update Date : 08/27/2012

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Practice Location Address:
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66749-3256
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Directions to “ RICHARD L HULL DO” Practice Location

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