Healthcare Provider Details

I. General information

NPI: 1962337683
Provider Name (Legal Business Name): JOSEPH GERARD PYLE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 N KANSAS ST
WICHITA KS
67214-3124
US

IV. Provider business mailing address

1010 N KANSAS ST
WICHITA KS
67214-3124
US

V. Phone/Fax

Practice location:
  • Phone: 316-858-3460
  • Fax: 316-858-3499
Mailing address:
  • Phone: 316-858-3460
  • Fax: 316-858-3499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number94-12840
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: