Individual provider · Type 1 NPI

Colin B. Lisenby, MD

Sports Medicine (Family Medicine) Physician · Wichita, KS

NPI number 1679922652 Active

Practice location

9828 E Shannon Woods Cir Ste 100
Wichita, KS 67226-4100

Fax (316) 631-1617

Specialties and licenses

Taxonomy	Code	License
Sports Medicine (Family Medicine) Physician Primary	207QS0010X	04-41606 (KS)

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

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About NPI 1679922652

Colin B. Lisenby, MD's National Provider Identifier is 1679922652, issued on Jun 9, 2016. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Wichita, KS. The record was last updated on Mar 17, 2026.