Provider Demographics
NPI:1730140708
Name:HUSER, PAUL W (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:W
Last Name:HUSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:PAUL
Other - Middle Name:WILLIAM
Other - Last Name:HUSER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:8200 W. CENTRAL
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67212
Mailing Address - Country:US
Mailing Address - Phone:316-721-4544
Mailing Address - Fax:316-721-8307
Practice Address - Street 1:8200 W. CENTRAL
Practice Address - Street 2:SUITE ONE
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212
Practice Address - Country:US
Practice Address - Phone:316-721-4544
Practice Address - Fax:316-721-8307
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-24146207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100159850 BMedicaid
052142Medicare ID - Type Unspecified
F88055Medicare UPIN
KS100159850 BMedicaid