Individual
VAN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2716 W CENTRAL AVE, WICHITA, KS 67203-4904
(316) 660-7300
Mailing address
635 N MAIN ST, WICHITA, KS 67203-3602
(316) 660-7600
(316) 660-7510
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-109618-032
KS
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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