Individual
JOSE F GUTIERREZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
550 N HILLSIDE, WICHITA, KS 67214
(316) 962-3030
Mailing address
8080 E CENTRAL, STE 250, WICHITA, KS 67206-2361
(316) 686-7327
(316) 686-1557
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
54199
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100247950D
—
KS
Enumeration date
08/18/2005
Last updated
07/08/2007
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