Individual
JEAN A DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(800) 374-5326
(800) 374-7656
Mailing address
PO BOX 2897, WICHITA, KS 67201-2897
(800) 374-5326
(800) 374-7656
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
54204
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145409
BCBS OF KS
KS
Enumeration date
05/18/2006
Last updated
03/20/2008
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