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COUNTY OF SEDGWICK

Organization (NPI-2) Active

Public Health or Welfare

Provider Information

NPI Number
1629281373
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
2716 W CENTRAL AVE, WICHITA, KS, 672034904
Phone
(316) 660-7354
Fax
(316) 660-4918

Specialties & Taxonomies

Physician Assistant License: KS #1500365
Physician Assistant License: KS #1500685
Nurse Practitioner, Community Health License: KS #45204
Nurse Practitioner, Community Health License: KS #45073
Public Health or Welfare Primary

All Addresses

LOCATION

2716 W CENTRAL AVE

WICHITA, KS, 672034904

(316) 660-7354

MAILING

635 N MAIN ST

WICHITA, KS, 672033602

(316) 660-7611