Individual
MR. DUANE C JAEGER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ARNP, BC
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 651-3621
(316) 681-5570
Mailing address
828 SHADY WAY, WICHITA, KS 67203-3416
(316) 651-3621
(316) 681-5570
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
74618
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-052505-012
RN LICENSE
KS
01
—
74618
PSYCHIATRIC CERTIFICATION
KS
Enumeration date
05/19/2006
Last updated
07/08/2007
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