Individual
KIRA D BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(316) 268-5000
Mailing address
6120 SHADYBROOK ST, WICHITA, KS 67208-1862
(316) 269-5000
(316) 269-0404
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
46005
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161826
BLUECROSS BLUESHIELD KANSAS
KS
05
—
200420210A
—
KS
Enumeration date
01/11/2007
Last updated
09/14/2009
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