Individual
NATALIE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13213 W 21ST CT STE 104, WICHITA, KS 67235-9625
(316) 295-6845
(316) 721-2291
Mailing address
13213 W 21ST CT STE 104, WICHITA, KS 67235-9625
(316) 573-6802
(316) 721-2291
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4934
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201343680A
—
KS
Enumeration date
09/14/2020
Last updated
11/24/2021
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