Individual
JENNIFER LYNNE DUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1515 S CLIFTON AVE STE 205, WICHITA, KS 67218-2958
(316) 274-8989
(316) 221-5696
Mailing address
1515 S CLIFTON AVE STE 205, WICHITA, KS 67218-2958
(316) 274-8989
(316) 221-5696
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/25/2016
Last updated
04/17/2026
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