Healthcare Provider Details

I. General information

NPI: 1912077975
Provider Name (Legal Business Name): KAREN R. STRECKER, M.D. P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 12/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 N. WEBB ROAD
WICHITA KS
67206-3413
US

IV. Provider business mailing address

1855 N. WEBB ROAD
WICHITA KS
67206-3413
US

V. Phone/Fax

Practice location:
  • Phone: 316-634-0060
  • Fax: 316-634-0050
Mailing address:
  • Phone: 316-634-0060
  • Fax: 316-634-0050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number0429339
License Number StateKS

VIII. Authorized Official

Name: KAREN STRECKER
Title or Position: OWNER
Credential: MD
Phone: 316-634-0060