Individual
JENNIFER NICOLE BAUERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 803-2018
Mailing address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 803-2018
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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