Individual
MR. SHAWN C VREDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 689-9107
Mailing address
1121 S DODGE AVE, WICHITA, KS 67213-4436
(316) 617-8546
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
T03473
KS
Other
Enumeration date
10/29/2012
Last updated
07/18/2025
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