SearchKansas183500000X

Brian Depperschmidt

NPI 1700267648 · on the registry since 2015 · sole proprietor

Practice

Address
2111 N Amidon Ave
Wichita, KS 67203
Phone
(316) 831-9567
Organisation at this address
Walmart Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-06-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas