Provider Demographics
NPI:1639315930
Name:OXLEY, DWIGHT KAHALA III (MD)
Entity Type:Individual
Prefix:DR
First Name:DWIGHT
Middle Name:KAHALA
Last Name:OXLEY
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:550 N. HILLSIDE
Mailing Address - Street 2:PATHOLOGY DEPARTMENT
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-4910
Mailing Address - Country:US
Mailing Address - Phone:316-962-2877
Mailing Address - Fax:316-962-2878
Practice Address - Street 1:550 N. HILLSIDE
Practice Address - Street 2:PATHOLOGY DEPARTMENT
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-4910
Practice Address - Country:US
Practice Address - Phone:316-962-2877
Practice Address - Fax:316-962-2878
Is Sole Proprietor?:No
Enumeration Date:2008-12-17
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS04-12945207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology