Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 04-18585 | KS |
Y | 207VX0201X | Gynecologic Oncologist | 0418585 | KS |
NPI | 1184735508 |
---|---|
Provider Name | James E Delmore |
First Address | Wichita, KS 67208-3003 |
Second Address | Wichita, KS 67208-3003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 04/05/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B68964 | (02) |