Colin B Lisenby, MD
Family Medicine, Sports Medicine in Wichita, KS. Individual provider (NPI-1).
NPI number1679922652
StatusActive
Last updated in NPPESMar 17, 2026
Details
- NPI
- 1679922652
- Entity type
- Individual (NPI-1)
- Name
- Colin B Lisenby
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2016
- Certification date
- Mar 17, 2026
- Last updated
- Mar 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QS0010X | Family Medicine, Sports Medicine | 04-41606 | KS | Yes |
Practice location
9828 E Shannon Woods Cir Ste 100Wichita, KS 67226-4100
Phone 316-631-1600 · Fax 316-631-1617
Mailing address
9828 E Shannon Woods Cir Ste 100Wichita, KS 67226-4100
Phone 316-631-1600 · Fax 316-631-1617
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Other Sports Medicine (Family Medicine) Physician providers in Wichita, KS
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All 9 Sports Medicine (Family Medicine) Physician providers in Wichita · All 13,560 providers in Wichita
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