Individual
TODD MCKOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
550 N HILLSIDE ST, WESLEY MEDICAL CENTER, WICHITA, KS 67214
(316) 962-2292
Mailing address
5389 N LYCEE ST, BEL AIRE, KS 67226-8701
(620) 255-9459
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5378576012
KS
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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