Individual
MRS. STEPHANIE A. QASIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4722 W KELLOGG DR, WICHITA, KS 67209-2508
(316) 440-2565
(316) 440-2750
Mailing address
4722 W KELLOGG DR, WICHITA, KS 67209-2508
(316) 440-2565
(316) 440-2750
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1500642
KS
Other
Enumeration date
10/16/2006
Last updated
03/30/2021
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