Individual
CHENELLE ANGELIQUE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
1348 N ERIE AVE, WICHITA, KS 67214-2528
(316) 205-9686
Mailing address
1348 N ERIE AVE, WICHITA, KS 67214-2528
(316) 205-9686
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
KS
291900000X
Military Clinical Medical Laboratory
—
KS
291U00000X
Clinical Medical Laboratory
Primary
—
KS
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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