Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERAD E WIDMAN, M.D.
Active Sole ProprietorDR. JERAD E WIDMAN, M.D. is a Family Medicine healthcare provider located in SPRING HILL, Kansas. NPI 1083655039 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SPRING HILL, KS
Registration Details
- NPI Number
- 1083655039
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2006 (20.152726592528 yrs)
- Last Updated
- Oct 23, 2019
- License
-
04-30763 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
22450 S HARRISON STSTE. 100SPRING HILL, KS, 660833151Browse KS providers · Browse ZIP 66083
- Phone
- 9135922720
- Fax
- 9135922725
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in SPRING HILL, KS
| Name | Credential | NPI |
|---|---|---|
| JACQUELYN LEA ALLEN | DO | 1134308745 |
| JENNIFER C BULCOCK | MD | 1194023010 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.