Individual
SIDNEY JULES MELUGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4700 W 13TH ST N, WICHITA, KS 67212-5575
(316) 202-3676
Mailing address
4700 W 13TH ST N, WICHITA, KS 67212-5575
(316) 202-3676
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
363LG0600X
KS
Other
Enumeration date
05/25/2023
Last updated
03/25/2025
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