Healthcare Provider Details

I. General information

NPI: 1982965851
Provider Name (Legal Business Name): SCOTT AKERS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2012
Last Update Date: 09/18/2023
Certification Date: 09/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14700 W SAINT TERESA ST STE 300
WICHITA KS
67235-9630
US

IV. Provider business mailing address

13906 W TAYLOR CIR
WICHITA KS
67235-8087
US

V. Phone/Fax

Practice location:
  • Phone: 316-274-0142
  • Fax:
Mailing address:
  • Phone: 316-689-9135
  • Fax: 316-689-9667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0536561
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: