Individual
DAVID JONATHAN WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 SW 7TH ST, TOPEKA, KS 66606-2489
(785) 295-8000
Mailing address
11853 R5 LN, HOYT, KS 66440-9267
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
113-89952-032
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
557461
KS
Other
Enumeration date
11/28/2016
Last updated
04/02/2019
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