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Individual

DEBORAH S PANKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
5423 S MIDLAND ST, WICHITA, KS 67217-5531
(316) 990-8778
Mailing address
5423 S MIDLAND ST, WICHITA, KS 67217-5531
(316) 990-8778

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
53-77181-011
KS
363LP2300X
Primary Care Nurse Practitioner
Primary
53-77181-011
KS

Other

Enumeration date
04/13/2016
Last updated
03/10/2017
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