Provider Demographics
NPI:1831395391
Name:UMBEHR, JOSHUA JIM (MD)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:JIM
Last Name:UMBEHR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10500 E BERKELEY SQUARE PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-6800
Mailing Address - Country:US
Mailing Address - Phone:316-260-6454
Mailing Address - Fax:316-260-8479
Practice Address - Street 1:10500 E BERKELEY SQUARE PKWY STE 200
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-6816
Practice Address - Country:US
Practice Address - Phone:316-260-6454
Practice Address - Fax:316-260-8479
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS046824207Q00000X
KS04-33425207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine