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 |
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Address | 742 W Sunrise Dr, Wichita, Kansas |
Phone Number | 3166898677 |
Fax Number | 3166881072 |
Sole Proprietor | Y |
Credentials | ARNP |
NPI Number Detail
NPI Number | 1104925916 |
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Provider Enumeration Date | 2006-09-21 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 742 W Sunrise Dr |
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City | Wichita |
State | Kansas (KS) |
Post Code | 672175336 |
Phone Number | 3166898677 |
Fax Number | 3166881072 |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | 45475 |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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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.
NPI Number: 1902809924
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