Individual
JESSE ELI REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1962 S COOPER ST, WICHITA, KS 67207-5824
(620) 205-8189
Mailing address
1962 S COOPER ST, WICHITA, KS 67207-5824
(620) 205-8189
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
13-164807-122
KS
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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