Individual
KEVIN STANSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
306 W 13TH ST, NEWTON, KS 67114-1305
(316) 616-4681
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9669
KS
Other
Enumeration date
06/26/2022
Last updated
06/26/2022
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