Holly Marie Allen Terrell, MD

Individual provider Active NPI Family Medicine Physician · Wichita, KS

NPI 1407084932 · NPPES record last updated Oct 13, 2021

Key facts

NPI
1407084932
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
04-34807 (KS)
Practice address
5500 E Kellogg Dr
Wichita, KS 67218-1607
Phone
(316) 265-2221
NPI assigned
Jun 23, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7231KSMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-34807 KS Yes
Family Medicine Physician 207Q00000X 7231 KS

Addresses

Primary practice location

5500 E Kellogg Dr
Wichita, KS 67218-1607

Mailing address

5500 E Kellogg Dr
Wichita, KS 67218-1607
Phone (316) 265-2221

Other providers in Wichita, KS

All providers in Wichita, KS · Family Medicine Physician in Kansas

Sources for this page

Verify at the official NPI Registry.