Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 12-00111 | KS |
Y | 222Z00000X | Podiatrist | 12-00111 | KS |
N | 111NR0200X | Radiology | 12-00111 | KS |
N | 213ER0200X | Radiology | 12-00111 | KS |
N | 213ES0131X | Foot Surgery | 12-00111 | KS |
NPI | 1922001551 |
---|---|
Provider Name | Frank K Galbraith |
First Address | Wichita, KS 67211-3020 |
Second Address | Wichita, KS 67211-3020 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2005 |
Last Update Date | 17/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100094210A | (05) | KS |
T43834 | (02) | KS |