| Doctor Name: | DR. COLIN QUINN WINDHAM |
| NPI Number: | 1972703361 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A96183 |
| Business Practice Address: | 301 N Main St Ste 300 Newton, KS - 671143461 |
| Business Phone Number: | 3162849602 |
| Business Fax Number: | |
| Mailing Address: | Po Box 507, 301 N Main, Suite 300 NEWTON |
| State: | KS |
| Postal Code: | 671140507 |
| Phone Number: | 3162849602 |
| Fax Number: | |
| NPI Enumeration Date: | 07/23/2007 |
| NPI Last Update Date: | 04/01/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A96183 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |