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Individual

ANDREW SENGCHANH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
940 S SAINT FRANCIS ST, WICHITA, KS 67211-2335
(316) 264-6464
Mailing address
1420 S RAVENWOOD ST, DERBY, KS 67037-8748
(409) 789-9263

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02312
KS

Other

Enumeration date
05/30/2019
Last updated
09/30/2020
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