Individual
RAE LYN MEFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3450 N ROCK RD STE 503, WICHITA, KS 67226-1355
(316) 312-0002
(316) 854-5644
Mailing address
9505 W CENTRAL AVE, STE 104, WICHITA, KS 67212-3801
(316) 312-0002
(316) 854-5644
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
45062
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100367010C
—
KS
Enumeration date
12/03/2009
Last updated
02/23/2018
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