Individual
DIAMOND O BRADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1319 W MAY ST, WICHITA, KS 67213-3505
(316) 737-7960
Mailing address
1319 W MAY ST, WICHITA, KS 67213-3505
(316) 364-8767
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
K04435294
KS
Other
Enumeration date
03/05/2026
Last updated
03/09/2026
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