Individual
MS. JEAN T DUKICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS-BC
Contact information
Practice address
848 N SAINT FRANCIS ST, SUITE 1900, WICHITA, KS 67214-3841
(316) 268-5881
(316) 268-8159
Mailing address
PO BOX 1897, WICHITA, KS 67201-1897
(316) 268-8131
(316) 291-4788
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
34090
KS
364S00000X
Clinical Nurse Specialist
Primary
53-74439
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100254720B
—
KS
Enumeration date
09/24/2010
Last updated
08/25/2014
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