Individual
JENNIFER SHEPERD CROSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1010 N KANSAS ST, WICHITA, KS 67214-3124
(316) 962-3030
Mailing address
1010 N KANSAS ST, WICHITA, KS 67214-3124
(316) 962-3030
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6576
KS
Other
Enumeration date
04/19/2007
Last updated
03/14/2008
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