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Individual

KELSEY BARNICKLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
10209 W CENTRAL AVE STE 1, WICHITA, KS 67212-4685
(316) 837-1454
Mailing address
10209 W CENTRAL AVE STE 1, WICHITA, KS 67212-4685
(316) 837-1454

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-77368
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003719494
MEDICARE
Enumeration date
09/13/2016
Last updated
11/15/2024
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