Individual
ALTA SUE KLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2456 N WOODLAWN ST, WICHITA, KS 67220-3968
(316) 689-8677
(316) 688-1072
Mailing address
742 W SUNRISE DR, WICHITA, KS 67217-5336
(316) 689-8677
(316) 688-1072
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
45475
KS
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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