Dr. Paul G Genilo, MD
Psychiatry & Neurology, Neurology in Wichita, KS. Individual provider (NPI-1).
NPI number1982609681
StatusActive
Last updated in NPPESApr 13, 2021
Details
- NPI
- 1982609681
- Entity type
- Individual (NPI-1)
- Name
- Dr. Paul G Genilo
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2005
- Certification date
- Apr 13, 2021
- Last updated
- Apr 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 04-30158 | KS | Yes |
| 204R00000X | Electrodiagnostic Medicine | 04-30158 | KS |
Practice location
2135 N Collective LnWichita, KS 67206-3560
Phone 316-261-3220 · Fax 316-261-3298
Mailing address
2135 N Collective LnWichita, KS 67206-3560
Phone 316-261-3220 · Fax 316-261-3298
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