Individual
KELEY M SULAWSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1515 S CLIFTON AVE STE 400, WICHITA, KS 67218-2961
(316) 274-1550
(316) 274-1569
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02311
KS
Other
Enumeration date
05/29/2019
Last updated
02/12/2020
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