Individual
TERRI LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
939 N MAIN ST, WICHITA, KS 67203-3608
(316) 617-0680
Mailing address
403 N HIGH ST, WICHITA, KS 67203-5250
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
23-47313-011
KS
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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