Individual
THU KESTER-PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1961 N FOUNDERS CIR, WICHITA, KS 67206-3548
(316) 469-7701
Mailing address
1961 N FOUNDERS CIR, WICHITA, KS 67206-3548
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-83051-092
KS
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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