IndividualActive
Abigail Kisrow, DO
NPI 1104667682 · Pediatrics Physician · Wichita, KS
Provider details
- NPI number
- 1104667682
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 9411807 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1010 N Kansas St
Wichita, KS 67214-3124
Phone: (316) 293-2665
Street-level locationGet directions
Mailing address
1010 N Kansas St
Wichita, KS 67214-3124
Registry dates
- Enumerated
- 2024-06-06
- Last updated
- 2024-06-06
- Certified
- 2024-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.