| Doctor Name: | WINEETHA FERNANDO |
| NPI Number: | 1023042926 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 0416062 |
| Business Practice Address: | 1301 Ks Hwy 264 Larned, KS - 675505353 |
| Business Phone Number: | 6208041022 |
| Business Fax Number: | 6202854579 |
| Mailing Address: | 1301 Ks Hwy 264, LARNED |
| State: | KS |
| Postal Code: | 675505353 |
| Phone Number: | 6208041022 |
| Fax Number: | 6202854579 |
| NPI Enumeration Date: | 07/10/2006 |
| NPI Last Update Date: | 07/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0416062 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |