Individual
ANGELA JEFFERIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
838 N WEST RD, BELLE PLAINE, KS 67013-8217
(620) 968-7686
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
23-47476-051
KS
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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