Individual
STUART NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 S TOPEKA ST, WICHITA, KS 67211-4132
(316) 242-6770
(316) 264-1980
Mailing address
1600 S TOPEKA ST, WICHITA, KS 67211-4132
(316) 242-6770
(316) 264-1980
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
3534
KS
Other
Enumeration date
10/24/2013
Last updated
11/08/2013
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