# SANDIE KREISER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811486004
- **Authorized official:** CINDY GLASSCOCK CPC (BILLING/CREDENTIALING)
- **Authorized official phone:** (316) 648-1157

## Contact information

- **Practice address:** 920 N TYLER RD STE 104, WICHITA, KS 67212-3267
- **Practice address phone:** (316) 469-4543
- **Practice address fax:** (316) 636-7122
- **Mailing address:** PO BOX 250, MAIZE, KS 67101-0250
- **Mailing address phone:** (316) 648-1157
- **Mailing address fax:** (866) 316-4467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 4788 | KS | Yes |

## Other

- **Enumeration date:** 05/03/2018
- **Last updated:** 05/03/2018