Dr. Willy G Pereira
Family Doctor
6155 E Harry St
Wichita
, Kansas 67218-3827
Dr. Willy G Pereira
Family Doctor
6155 E Harry St
Wichita
, Kansas 67218-3827
(316) 682-1754
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Willy G Pereira
- 6155 E Harry St
- Wichita, KS
- Zip : 67218-3827
- Phone : (316) 682-1754
Second Address
- Dr. Willy G Pereira
- 6155 E Harry St
- Wichita, KS
- Zip : 67218-3827
- Phone : (316) 682-1754
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 0415565 | KS |
National Provider Identifier
| NPI | 1003834276 |
|---|---|
| Provider Name | Dr. Willy G Pereira |
| First Address | Wichita, KS 67218-3827 |
| Second Address | Wichita, KS 67218-3827 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2006 |
| Last Update Date | 15/09/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 057396 | BCBS (01) | KS |
| B68595 | (02) | KS |
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.