Organization
MSH II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANNIFER SUE TERRY RN (PRESIDENT)
(316) 440-4820
Entity
Organization
Contact information
Practice address
7829 E ROCKHILL ST STE 406, WICHITA, KS 67206-3915
(316) 440-4820
Mailing address
7829 E ROCKHILL ST STE 406, WICHITA, KS 67206-3915
(316) 440-4820
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/22/2009
Last updated
06/23/2009
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