Healthcare Provider Details

I. General information

NPI: 1497070239
Provider Name (Legal Business Name): KARA A EHLERS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2010
Last Update Date: 09/14/2021
Certification Date: 09/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 E 29TH ST N STE 102
WICHITA KS
67226-3007
US

IV. Provider business mailing address

9300 E 29TH ST N STE 102
WICHITA KS
67226-3007
US

V. Phone/Fax

Practice location:
  • Phone: 316-687-2112
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberP6610
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number47115
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number04-43032
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: