Wymore, Craig A

Wymore, Craig A is an individual health care provider with primary practice located at 15435 W 134Th Pl Suite 101, Olathe KS 66062-6135. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wymore, Craig A can be contacted via phone (913) 780-0030.

Contact Information

Primary practice address
15435 W 134Th Pl Suite 101 Olathe KS 66062-6135
Fax: (913) 782-2924
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04-17400 Kansas

Profile Details

NPI number 1184720971
LBN Legal business name Wymore, Craig A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Sep 24th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184720971 NPPES
Kansas MEDICAID 200603610B

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