Individual
MR. DARREL J MOURNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 651-3621
(316) 634-3091
Mailing address
231 MICHELLE DR, CLEARWATER, KS 67026-9490
(620) 584-2985
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13-36933-031
KS
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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