Individual
JACOB KORDONOWY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4155 E HARRY ST, WICHITA, KS 67218-3725
(316) 350-0281
Mailing address
4155 E HARRY ST, WICHITA, KS 67218-3725
(316) 350-0281
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10741
KS
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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