Individual
PAIGE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3343 W CENTRAL AVE, WICHITA, KS 67203-4917
(316) 260-4110
Mailing address
3343 W CENTRAL AVE, WICHITA, KS 67203-4917
(316) 260-4110
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-84297-122
KS
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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