Individual
RICHARD WAYNE CONDREAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4976
(316) 641-3557
Mailing address
2160 N RIVERSIDE BLVD, WICHITA, KS 67203-2342
(316) 641-3557
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
11-01181
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16-01181
KS STATE BOARD OF HEALING ARTS
KS
01
—
9115318
AARC
—
Enumeration date
10/14/2018
Last updated
10/14/2018
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