Basic Information
| Provider Information | |||||||||
| NPI: | 1710904511 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | D'EMPAIRE | ||||||||
| FirstName: | INNA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1010 N KANSAS | ||||||||
| Address2: | SUITE #3049 | ||||||||
| City: | WICHITA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 672143199 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3162932647 | ||||||||
| FaxNumber: | 3162931863 | ||||||||
| Practice Location | |||||||||
| Address1: | 1001 N MINNEAPOLIS | ||||||||
| Address2: | |||||||||
| City: | WICHITA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 672143124 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3162932647 | ||||||||
| FaxNumber: | 3162931863 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/16/2006 | ||||||||
| LastUpdateDate: | 11/30/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | 04-30243 | KS | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
ID Information
| ID | Type | State | Issuer | Description | 105476 | 01 | KS | BCBS | OTHER |