Individual
TIM EUGENE CONLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12202 E TROON ST, WICHITA, KS 67206-7805
(316) 691-9397
Mailing address
818 N WHITE TAIL CT, WICHITA, KS 67206-4174
(316) 260-4420
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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