Individual
MR. JUAN PABLO MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
6505 E. CENTRAL, SUITE 288, WICHITA, KS 67206-1924
(316) 789-8444
(316) 789-8444
Mailing address
13716 E. MAINSGATE ST., WICHITA, KS 67228-8049
(210) 528-0047
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
147049
KS
367500000X
Certified Registered Nurse Anesthetist
222401
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
558042
KS
Other
Enumeration date
09/29/2022
Last updated
03/24/2025
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