Healthcare Provider Details

I. General information

NPI: 1669821799
Provider Name (Legal Business Name): KIRSTEN BJORKMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2016
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9211 E 21ST ST N
WICHITA KS
67206-2900
US

IV. Provider business mailing address

9211 E 21ST ST N
WICHITA KS
67206-2900
US

V. Phone/Fax

Practice location:
  • Phone: 316-274-4400
  • Fax: 316-634-4040
Mailing address:
  • Phone: 316-274-4400
  • Fax: 316-634-4040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number04-42365
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: