Individual
CODY MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1836 E MCKNIGHT ST, WICHITA, KS 67211-1915
(316) 706-9707
Mailing address
1836 E MCKNIGHT ST, WICHITA, KS 67211-1915
(316) 706-9707
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
141336
KS
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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