Individual
CAROLYN LEFEVRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
707 N EMPORIA ST, WICHITA, KS 67214-3707
(316) 838-1076
Mailing address
2518 W 24TH ST N, WICHITA, KS 67204-5440
(316) 838-1076
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
24-00193
KS
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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