Healthcare Provider Details

I. General information

NPI: 1457309429
Provider Name (Legal Business Name): ANNA F STORK-FURY D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3233 E 2ND ST N
WICHITA KS
67208-3202
US

IV. Provider business mailing address

3252 E DOUGLAS AVE STE 101
WICHITA KS
67208-3354
US

V. Phone/Fax

Practice location:
  • Phone: 316-683-6766
  • Fax: 316-683-1342
Mailing address:
  • Phone: 316-687-3275
  • Fax: 833-907-2276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number0530417
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: