NPI 1972800514

Derick Lee Tibbetts, IDMT

Practitioner Independent Duty Medical Technicians Wichita, KS

Practice location

Address: 638 S Whittier St, Wichita, KS 67207-2222
Phone: (316) 841-3810

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1972800514
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Feb 2011
Record last updated: 17 Feb 2011

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.