Individual
MS. JEAN ANN MOORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CDE
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
(316) 634-3014
Mailing address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
(316) 634-3014
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
13-30884-021
KS
163WD0400X
Diabetes Educator Registered Nurse
CDE 0892-7327
KS
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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