Individual
CHERYL RUNYAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
1929 W 21ST ST N, WICHITA, KS 67203-2106
(316) 660-7700
(316) 838-2115
Mailing address
635 N MAIN ST, WICHITA, KS 67203-3602
(316) 660-7600
(316) 383-7925
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1059
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011577
BLUE CROSS BLUE SHIELD
KS
01
—
2144768
CIGNA
KS
Enumeration date
06/10/2006
Last updated
07/08/2007
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