Individual
MR. NORMAN KEITH TREVOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
848 N. ST FRANCIS, STE 3901, WICHITA, KS 67214-3858
(316) 268-8500
(316) 291-7993
Mailing address
848 N. ST FRANCIS, STE 3901, WICHITA, KS 67214-3858
(316) 268-8500
(316) 291-7993
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
44097
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100415820A
—
KS
05
—
100415820E
—
KS
Enumeration date
06/15/2005
Last updated
02/07/2015
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