Individual
SHANNA KATING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 E 2ND ST, WICHITA, KS 67202-2504
(316) 660-7800
(316) 941-5060
Mailing address
934 N WATER ST, WICHITA, KS 67203-3838
(316) 660-7600
(316) 941-5075
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9300
KS
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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