Provider Demographics
NPI:1528018900
Name:WOOLLEY, MEREDITH S (MD)
Entity Type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:S
Last Name:WOOLLEY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:GOOD SAMARITAN HEALTH MINISTRIES
Mailing Address - Street 2:3701 E. 13TH ST N BLDG 400
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67208-2077
Mailing Address - Country:US
Mailing Address - Phone:316-688-5020
Mailing Address - Fax:316-682-1880
Practice Address - Street 1:GOOD SAMARITAN HEALTH MINISTRIES
Practice Address - Street 2:3701 E. 13TH ST N BLDG 400
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208-2077
Practice Address - Country:US
Practice Address - Phone:316-688-5020
Practice Address - Fax:316-682-1880
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2012-04-10
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Provider Licenses
StateLicense IDTaxonomies
KS04-24630207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine