Individual
KOSSI JONDOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1725 S CYPRESS ST, WICHITA, KS 67207-5519
(316) 751-8494
Mailing address
435 SUNNYSLOPE CT N, ANDOVER, KS 67002-9657
(316) 751-8494
Taxonomy
Speciality
Code
Description
License number
State
133VN1301X
Oncology Nutrition Registered Dietitian
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
04/05/2022
Last updated
04/14/2022
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