Individual
KELSIE L BRIGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7335 W 33RD ST N, WICHITA, KS 67205-9368
(316) 866-7067
(844) 788-4005
Mailing address
PO BOX 75345, WICHITA, KS 67275-0345
(316) 259-2407
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-04875
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-04875
KANSAS STATE BOARD OF HEALING ARTS
KS
Enumeration date
05/16/2014
Last updated
12/09/2024
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