Organization
EMERGENCY SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BROCK-BAKER (BUSINESS ADMINISTRATOR)
(316) 962-2239
Entity
Organization
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-2239
(316) 962-2668
Mailing address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-2239
(316) 962-2668
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TMP-154257
KS
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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