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1215771464
ETHAN PAYNE
WICHITA, KS
NPI
1215771464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KS 94-11990)
Enumeration Date
2024-06-22
Last Update Date
2024-06-27
Business Address
Dr. ETHAN PAYNE MD
707 N EMPORIA ST
WICHITA, KS 67214-3707
Phone number: 316-858-3499
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Mailing Address
Dr. ETHAN PAYNE MD
1010 N KANSAS ST
WICHITA, KS 67214-3124
Phone number: 316-293-2665
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