Individual
MS. CHRISTINE RENE WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1659 TAMARISK DR, WICHITA, KS 67230-7648
(316) 440-5916
Mailing address
1659 TAMARISK DR, WICHITA, KS 67230-7648
(316) 440-5916
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00316
KS
Other
Enumeration date
10/04/2006
Last updated
09/16/2008
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