Individual
MRS. KELLI ANNE OTSUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S., NCSP
Contact information
Practice address
2658 N SHEFFORD CT, WICHITA, KS 67205-2063
(316) 691-7851
Mailing address
2658 N SHEFFORD CT, WICHITA, KS 67205-2063
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4594295371
KS
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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