Healthcare Provider Details

I. General information

NPI: 1942317573
Provider Name (Legal Business Name): SETH A SCHNEIDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8110 E 32ND ST N STE 170
WICHITA KS
67226
US

IV. Provider business mailing address

1003 N LINDEN CTR
WICHITA KS
67206
US

V. Phone/Fax

Practice location:
  • Phone: 316-634-0020
  • Fax: 316-634-2224
Mailing address:
  • Phone: 316-634-1955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number0422279
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: