Individual
KEVIN LEE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8700 E 29TH ST N, WICHITA, KS 67226-2169
(316) 634-8710
(316) 634-8891
Mailing address
8700 E 29TH ST N, WICHITA, KS 67226-2169
(316) 634-8710
(316) 634-8891
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
146
KS
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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