Individual
KRISTIN DANIELLE KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
551 N HILLSIDE ST STE 200, WICHITA, KS 67214-4923
(316) 263-0296
Mailing address
551 N HILLSIDE ST STE 201, WICHITA, KS 67214-4925
(316) 263-0296
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
53-81562
KS
363L00000X
Nurse Practitioner
Primary
53-81562-102
KS
Other
Enumeration date
09/26/2022
Last updated
10/29/2024
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