Provider Demographics
NPI:1063614998
Name:BELL, JEFFREY K (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:K
Last Name:BELL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:929 N SAINT FRANCIS ST
Mailing Address - Street 2:EMERGENCY DEPARTMENT VIA CHRISTI HOSPITAL
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-3821
Mailing Address - Country:US
Mailing Address - Phone:316-268-5775
Mailing Address - Fax:316-291-7496
Practice Address - Street 1:929 N SAINT FRANCIS ST
Practice Address - Street 2:EMERGENCY DEPARTMENT VIA CHRISTI HOSPITAL
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-3821
Practice Address - Country:US
Practice Address - Phone:316-268-5775
Practice Address - Fax:316-291-7496
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEC7-0003763207P00000X
DEC1-0009023207P00000X
SC40038207P00000X
KS04-34497207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200654700AMedicaid
SC400383Medicaid
SCSC90299068OtherMEDICARE PIN
SCSC90298510OtherMEDICARE PIN