Individual
KATERINA VIDENOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3770 N WOODLAWN BLVD, WICHITA, KS 67220-2220
(316) 686-1838
Mailing address
3770 N WOODLAWN BLVD, WICHITA, KS 67220-2220
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116946
KS
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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