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Dr. Jessica Tanner, MD
Diagnostic Radiology Physician in Wichita, Kansas
NPI 1154438968

Jessica Tanner is a Diagnostic Radiology Physician based in Wichita, KS and is specialized in Diagnostic Radiology. Jessica Tanner practices in Wichita, KS and has the professional credentials of MD. The NPI Number for Jessica Tanner is 1154438968 and holds a License No. 4301078717 (Kansas).

The current practice location address for Jessica Tanner is 3600 E Harry St, Wichita, KS and can be reached out via phone at 316-689-6173.

Location: 3600 E Harry St, Wichita, KS, 67218-3713
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154438968
Provider Name
Jessica Tanner
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3600 E Harry St, Wichita, KS, 67218-3713
Phone Number
316-689-6173
Fax Number
Provider Enumeration Date
08/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
106560 01 KS MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
3600 E Harry St
City
Wichita
State
Kansas
Zip
67218-3713
Phone Number
316-689-6173
Fax Number
person
Provider Business Mailing Address Details
Address
3600 E Harry St
City
Wichita
State
Kansas
Zip
67218-3713
Phone Number
316-689-6173
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
4301078717 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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