Individual
DR. JENNIFER L. WIPPERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1121 S CLIFTON AVE, WICHITA, KS 67218-2912
(316) 689-5000
(316) 691-6719
Mailing address
1010 N KANSAS ST, SUITE #3054, WICHITA, KS 67214-3124
(316) 293-2607
(316) 293-1882
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
046767
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200675920A
—
KS
Enumeration date
06/15/2007
Last updated
12/16/2010
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