Individual
MS. ALICIA DANAE VAHSHOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-2218
Mailing address
713 N LAKECREST CT, ANDOVER, KS 67002-9334
(316) 925-1112
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1501355
KS
Other
Enumeration date
06/25/2013
Last updated
05/10/2019
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