Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 0420015 | KS |
NPI | 1710181177 |
---|---|
Provider Name | Dr. Rick Lee Hartwell |
First Address | Wichita, KS 67204-2574 |
Second Address | Wichita, KS 67204-2574 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2007 |
Last Update Date | 08/07/2007 |