Rivera, Darla K

Rivera, Darla K is an individual health care provider with primary practice located at 7111 E 21St Street N Suite A, Wichita KS 67206. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Rivera, Darla K can be contacted via phone (316) 684-2851.

Contact Information

Primary practice address
7111 E 21St Street N Suite A Wichita KS 67206
Phone: (316) 684-2851
Fax: (316) 686-7338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 05-22566 Kansas

Profile Details

NPI number 1336149137
LBN Legal business name Rivera, Darla K
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Oct 16th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336149137 NPPES
Kansas Other 101599 BLUE CROSS INDIVIDUAL
Kansas Other 100231360B BLUE CROSS INDIVIDUAL
Kansas MEDICAID 100416440A BLUE CROSS INDIVIDUAL
Kansas Other 80186349 BLUE CROSS INDIVIDUAL
Kansas Other 622091 BLUE CROSS INDIVIDUAL
Kansas Other 110718 BLUE CROSS INDIVIDUAL

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