Individual
MR. MICHAEL JAMES MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1306 STATE ST, AUGUSTA, KS 67010-1126
(316) 775-9191
(316) 775-0348
Mailing address
875 S SAGEBRUSH CT, WICHITA, KS 67230-7663
(316) 806-6707
(316) 337-5758
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5382453031
KS
Other
Enumeration date
09/28/2009
Last updated
08/29/2023
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