Individual
MS. KRISTI S DUTTON SPEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, BC
Contact information
Practice address
9333 E 21ST ST N, WICHITA, KS 67206-2927
(316) 634-4700
(316) 634-4770
Mailing address
6612 E MARJORIE ST, WICHITA, KS 67206-1426
(316) 641-9294
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
74825
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100644470B
—
KS
Enumeration date
06/13/2005
Last updated
07/16/2014
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