Individual provider · NPI-1
Smyrna Abou Antoun, MD
Internal Medicine · Wichita, KS
NPI number1821297656
StatusActive
Last updated in NPPESMar 17, 2008
Details
- NPI
- 1821297656
- Entity type
- Individual (NPI-1)
- Name
- Smyrna Abou Antoun
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2007
- Last updated
- Mar 17, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 046697 | KS | Yes |
Practice location
1010 N Kansas StWichita, KS 67214-3124
Phone 316-962-3030
Mailing address
1010 N Kansas StWichita, KS 67214-3124
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