Individual
ASHLEY RENEE GRAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9211 E 21ST ST N, WICHITA, KS 67206
(316) 609-4400
(316) 634-4040
Mailing address
9211 E 21ST ST N, WICHITA, KS 67206-2900
(316) 393-1580
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53-77926-012
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201204280A
—
KS
Enumeration date
06/13/2018
Last updated
07/25/2018
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