MEDICARE: FRANK K GALBRAITH D.P.M.

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
1	213ES0131X	Foot Surgery Podiatrist	12-00111	KS
2	213E00000X	Podiatrist	12-00111	KS
3	213ER0200X	Radiology Podiatrist	12-00111	KS

Other Identifiers

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

General Provider Information

NPI Number	:	1922001551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK K GALBRAITH D.P.M.

Provider Business Mailing Address
First Line	:	758 S HILLSIDE ST
Second Line	:	STE 2
City	:	WICHITA
State	:	KS
Zip	:	67211-3020
Country	:	US
Telephone Number	:	316-686-2106
Fax Number	:	316-686-5974

Provider Business Practice Location Address
First Line	:	758 S HILLSIDE ST
Second Line	:	STE 2
City	:	WICHITA
State	:	KS
Zip	:	67211-3020
Country	:	US
Telephone Number	:	316-686-2106
Fax Number	:	316-686-5974

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	11/17/2014

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