COLE GILLENWATER

WICHITA, KS
NPI1932557220
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: KS  04-40466)
Enumeration Date2016-05-27
Last Update Date2019-07-19
Business Address
COLE GILLENWATER M.D.
7111 E 21ST ST N STE A
WICHITA, KS 67206-1078
Phone number: 316-684-2851
Mailing Address
COLE GILLENWATER M.D.
1010 N KANSAS ST
WICHITA, KS 67214-3124
Phone number: 316-962-3070
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