Individual
SUMAL BUDDHIKA JAYAWARNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 651-2221
Mailing address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
13157743102
KS
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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