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Individual

JENNIFER CALLISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
4815 E 31ST ST S, WICHITA, KS 67210-1511
(316) 613-5800
(316) 768-8000
Mailing address
4815 E 31ST ST S, WICHITA, KS 67210-1511

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-39050
KS

Other

Enumeration date
05/13/2013
Last updated
10/04/2023
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