Individual
SAMANTHA LOUISE ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2770 N WEBB RD, WICHITA, KS 67226-8112
(316) 634-0090
Mailing address
1511 W BROWNING CT, ANDOVER, KS 67002-7508
(316) 680-0677
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-134149-021
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
13-134149-021
KS
Other
Enumeration date
04/08/2025
Last updated
08/20/2025
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