Individual
ADYSON MAE INGOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4210 S BOYD ST, WICHITA, KS 67215-2044
(308) 224-7617
Mailing address
4210 S BOYD ST, WICHITA, KS 67215-2044
(308) 224-7617
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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