Individual
KIMBERLY GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
1416 N FOUNTAIN ST, WICHITA, KS 67208-2122
(316) 399-6926
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-165763-062
KS
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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