Individual
KAITLYN MARY LEIGH NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 N WOODLAWN BLVD STE D, DERBY, KS 67037-2931
(316) 202-0970
(316) 202-0971
Mailing address
200 W DOUGLAS AVE STE 250, WICHITA, KS 67202-3002
(316) 263-0003
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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