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NPI Code Detail

MEDICARE: BENJAMIN R NORMAN MD

MEDICARE: BENJAMIN R NORMAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician0421469KS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1103550OTHERMEDICARE

General Provider Information

NPI Number : 1073592507
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN R NORMAN MD
Provider Business Mailing Address
First Line : 2535 E LINCOLN ST
Second Line :
City : WICHITA
State : KS
Zip : 67211-3821
Country : US
Telephone Number : 316-687-9794
Fax Number : 316-689-6957
Provider Business Practice Location Address
First Line : 2535 E LINCOLN ST
Second Line :
City : WICHITA
State : KS
Zip : 67211-3821
Country : US
Telephone Number : 316-687-9794
Fax Number : 316-689-6957
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2006
Last Update Date : 07/25/2016

Similar Medicare Providers

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1780663211 — LARRY WILKINSON MD
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1164401584 — JAMES LITTELL MD
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1114041209 — MRS. BRENDA HENDRICK DPT
Practice Location Address:
2535 E LINCOLN ST
WICHITA, KS
67211-3821
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Practice Fax:
1487893632 — VIA CHRISTI REHABILITATION, INC.
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WICHITA, KS
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1942546957 — MR. KEVIN C. MEYER PTA
Practice Location Address:
2535 E LINCOLN ST
WICHITA, KS
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Directions to “ BENJAMIN R NORMAN MD” Practice Location

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