Individual
MARY KAY MROZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
315 N HILLSIDE ST, STE C, WICHITA, KS 67214-4915
(316) 462-1208
(316) 462-1214
Mailing address
315 N HILLSIDE ST, STE C, WICHITA, KS 67214-4915
(316) 462-1208
(316) 462-1214
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0422060
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100232480C
—
KS
Enumeration date
11/30/2005
Last updated
05/02/2014
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