Provider Demographics
NPI:1477558575
Name:EARLY, JAMES L (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:L
Last Name:EARLY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 48574
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67201-8574
Mailing Address - Country:US
Mailing Address - Phone:316-689-5911
Mailing Address - Fax:316-691-6788
Practice Address - Street 1:6100 E CENTRAL AVE
Practice Address - Street 2:STE 3, STE 101
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208-4244
Practice Address - Country:US
Practice Address - Phone:316-689-5235
Practice Address - Fax:316-691-6788
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2010-12-07
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Provider Licenses
StateLicense IDTaxonomies
KS0424560207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS103494Medicare PIN