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Individual

DUANE FARNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7550 W VILLAGE CIR STE 1, WICHITA, KS 67205-9364
(316) 838-2020
(316) 838-7574
Mailing address
7550 W VILLAGE CIR STE 1, WICHITA, KS 67205-9364
(316) 838-2020
(316) 838-7574

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17-01609
STATE LICENSE
KS
01
2001001407
LICENSE #
MO
Enumeration date
08/20/2006
Last updated
06/19/2020
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