Individual
JACOB ELPERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
2778 N WEBB RD, WICHITA, KS 67226-8112
(316) 631-1600
(316) 631-1617
Mailing address
2778 N WEBB RD, WICHITA, KS 67226-8112
(316) 631-1600
(316) 631-1617
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-01144
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24-01144
KANSAS STATE BOARD OF HEALING ARTS
KS
Enumeration date
06/26/2019
Last updated
06/26/2019
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