Individual
MISS GRACE ANNE ROYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
13609 E PAWNEE RD UNIT 33, WICHITA, KS 67230-9120
(620) 253-4948
Mailing address
13609 E PAWNEE RD UNIT 33, WICHITA, KS 67230-9120
(620) 253-4948
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
15-02999
KS
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
04/17/2026
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