Basic Information
| Provider Information | |||||||||
| NPI: | 1861623985 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BELTRAN CARRANZA | ||||||||
| FirstName: | ELIZABETH | ||||||||
| MiddleName: | CAROLINA | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 101 N CHELMSFORD CT | ||||||||
| Address2: | |||||||||
| City: | WICHITA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 672306915 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4093924270 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1010 N KANSAS ST | ||||||||
| Address2: | |||||||||
| City: | WICHITA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 672143124 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3162932611 | ||||||||
| FaxNumber: | 3162931882 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/06/2009 | ||||||||
| LastUpdateDate: | 01/18/2022 | ||||||||
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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 | 207SG0201X | 38804 | KS | Y | Allopathic & Osteopathic Physicians | Medical Genetics | Clinical Genetics (M.D.) | 207SG0202X | 38804 | KS | N | Allopathic & Osteopathic Physicians | Medical Genetics | Clinical Biochemical Genetics |
No ID Information.