Individual
KENNEDY ELIZABETH DURBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 N KANSAS ST, WICHITA, KS 67214-3124
(316) 293-3500
Mailing address
8510 E 29TH ST N APT 2902, WICHITA, KS 67226-2274
(316) 250-0991
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-105555
KS
390200000X
Student in an Organized Health Care Education/Training Program
3-105555
KS
Other
Enumeration date
08/17/2024
Last updated
09/02/2025
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