Individual
MISS JUDY RAFTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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
363LP0200X
Pediatric Nurse Practitioner
Primary
53-75110-011
KS
Other
Enumeration date
06/28/2010
Last updated
06/28/2010
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