Individual
HOLLY CLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
151 S GRANT ST, CLEARWATER, KS 67026-7809
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
140255
KS
Other
Enumeration date
07/01/2018
Last updated
07/01/2018
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