Individual
CAROL J O'MARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
929 N SAINT FRANCIS ST, ER, WICHITA, KS 67214-3821
(316) 268-5775
(316) 291-7496
Mailing address
929 N SAINT FRANCIS ST, ER, WICHITA, KS 67214-3821
(316) 268-5775
(316) 291-7496
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
45039
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200004890A
—
KS
05
—
200004890C
—
KS
01
—
45039
ARNP LICENSE
KS
Enumeration date
05/26/2006
Last updated
11/30/2010
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