is a Gerontology in Wichita, Kansas. practices all healthcare services and medical treatments related to Gerontology. The NPI Number for is 1396796991. The last update date is .
's current location address is 347 S. Laura St., Wichita, Kansas. You can contact this provider via phone number 3166867117 and fax number 3166862679. The mailing address for is 347 S. Laura St., Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 347 S. Laura St., Wichita, Kansas |
| Phone Number | 3166867117 |
| Fax Number | 3166862679 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1396796991 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 347 S. Laura St. |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672111518 |
| Phone Number | 3166867117 |
| Fax Number | 3166862679 |
Provider's Primary Taxonomy Detail
| Speciality | Gerontology |
|---|---|
| Taxonomy | 363Lg0600X |
| Licence No | 74898 |
|
Definition: An advanced practice registered nurse expert in providing care to older adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100004190A | KS | -- | |
| CN3326 | KS | RAILROAD MEDICARE | |
| 16291 | KS | BCBS OF KANSAS |
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