NPI 1619605599
Lance Fairbanks
Practice location
- Address
- 785 N Kessler St, Wichita, KS 67203-4828
- Phone
- (316) 559-1940
Registered specialties
Other Technician
Primary
Registry record
- NPI
- 1619605599
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 9 Aug 2022
- Record last updated
- 9 Aug 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.