Individual
ELIZABETH B WETMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
300 CUSTER ST, DODGE CITY, KS 67801-0848
(620) 225-3727
(620) 225-2689
Mailing address
300 CUSTER ST, DODGE CITY, KS 67801-0848
(620) 225-3727
(620) 225-2689
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44332
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100361000B
—
KS
Enumeration date
08/17/2006
Last updated
07/01/2010
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