Charles D Pence
Orthopaedic Spine Surgeon
1947 Founders St
Wichita
, Kansas 67206-3548
Charles D Pence
Orthopaedic Spine Surgeon
1947 Founders St
Wichita
, Kansas 67206-3548
(316) 689-9102
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About
Features
Specialties
- Orthopaedic Spine Surgeon
Languages spoken
- English
Location
First Address
- Charles D Pence
- Po Box 8035
- Wichita, KS
- Zip : 67208-0035
- Fax : (316) 689-9102
- Phone : (316) 689-9135
Second Address
- Charles D Pence
- 1947 Founders St
- Wichita, KS
- Zip : 67206-3548
- Fax : (316) 613-4704
- Phone : (316) 689-9175
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0117X | Orthopaedic Spine Surgeon | 14229 | KS |
National Provider Identifier
| NPI | 1114954740 |
|---|---|
| Provider Name | Charles D Pence |
| First Address | Wichita, KS 67208-0035 |
| Second Address | Wichita, KS 67206-3548 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2006 |
| Last Update Date | 13/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001521 | BCBS (01) | KS |
| 12149391 | MULTIPLAN (01) | KS |
| 16915 | COVENTRY (01) | KS |
| 200142 | HPK (01) | KS |
| 722 | PHS (01) | KS |
| B68972 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.