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Individual

JODY ELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8200 W CENTRAL AVE, SUITE ONE, WICHITA, KS 67212-9503
(316) 721-4544
(316) 721-8307
Mailing address
8200 W CENTRAL AVE, SUITE ONE, WICHITA, KS 67212-9503
(316) 721-4544
(316) 721-8307

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0436015
KS
207Q00000X
Family Medicine Physician
7614
KS

Other

Enumeration date
06/14/2011
Last updated
09/17/2014
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