Organization
ADVANCED CLINICAL CONSULTANTS OF KANSAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN SHELBY EWERTZ (OWNER/APRN)
(316) 619-0411
Entity
Organization
Contact information
Practice address
5901 W DRIFTWOOD ST, WICHITA, KS 67205-5265
(316) 619-0411
Mailing address
5901 W DRIFTWOOD ST, WICHITA, KS 67205-5265
(316) 619-0411
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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