-- JASON ETHEREDGE -- MD, PhD
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Psychiatry
Provider Information
- NPI Number
1053517573- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD, PhD
- Status
- Active
Contact & Location
- Address
- 1010 N KANSAS ST, WICHITA, KS, 672143124
- Phone
- (316) 268-5000
Specialties & Taxonomies
Psychiatry & Neurology, Psychiatry
Primary License: KS #046821
All Addresses
MAILING
1010 N KANSAS ST
WICHITA, KS, 672143124