Alta Sue Klick in Wichita - Family

Alta Sue Klick - NPI 1104925916

Alta Sue Klick is a Family in Wichita, Kansas. Alta Sue Klick practices all healthcare services and medical treatments related to Family. The NPI Number for Alta Sue Klick is 1104925916. The last update date is 2007-07-08.

Alta Sue Klick's current location address is 742 W Sunrise Dr, Wichita, Kansas. You can contact this provider via phone number 3166898677 and fax number 3166881072. The mailing address for Alta Sue Klick is 742 W Sunrise Dr, Wichita, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Alta Sue Klick
Address 742 W Sunrise Dr, Wichita, Kansas
Phone Number 3166898677
Fax Number 3166881072
Sole Proprietor Y
Credentials ARNP

NPI Number Detail

NPI Number 1104925916
Provider Enumeration Date 2006-09-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 742 W Sunrise Dr
City Wichita
State Kansas (KS)
Post Code 672175336
Phone Number 3166898677
Fax Number 3166881072

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 45475
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Alta Sue Klick

What is the unique 10-digit identification code assigned to Alta Sue Klick by the Centers for Medicare & Medicaid Services?

The Alta Sue Klick has been issued the NPI (National Provider Identifier) 1104925916, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Alta Sue Klick is physically located?

The Alta Sue Klick is physically situated at the following address: 742 W Sunrise Dr, Wichita, KS, 672175336.

What is Alta Sue Klick's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Alta Sue Klick is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1104925916 to Alta Sue Klick?

The Centers for Medicare & Medicaid Services originally issued the 1104925916 to Alta Sue Klick on 2006-09-21.

As of what date were the Alta Sue Klick's details last updated?

The information pertaining to the Alta Sue Klick, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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