Provider Demographics
NPI:1740247584
Name:WEHNER, TREASURE A (DO)
Entity type:Individual
Prefix:
First Name:TREASURE
Middle Name:A
Last Name:WEHNER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 643
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:KS
Mailing Address - Zip Code:67156-0643
Mailing Address - Country:US
Mailing Address - Phone:620-221-3350
Mailing Address - Fax:620-221-1607
Practice Address - Street 1:221 W 8TH AVE
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:KS
Practice Address - Zip Code:67156-2718
Practice Address - Country:US
Practice Address - Phone:620-221-3350
Practice Address - Fax:620-221-1607
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0524787207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100232010CMedicaid
KS045431Medicare ID - Type Unspecified
KSD47194Medicare UPIN