Individual
MRS. KIERSTEN DAWN CAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1 CESSNA BLVD, WICHITA, KS 67215-1400
(316) 517-8775
(316) 517-8063
Mailing address
6550 LAZY DAY LN., ANDALE, KS 67001
(316) 444-2541
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
45622
KS
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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