Individual
LYNN KIENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3737 W DOUGLAS AVE, WICHITA, KS 67213-2407
(316) 941-9948
Mailing address
414 N ORCHARD ST, EL DORADO, KS 67042-1462
(316) 323-0311
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
731
KS
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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