Individual
AMANDA LEA WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1122 N TOPEKA ST, WICHITA, KS 67214-2810
(316) 866-2000
(316) 866-2084
Mailing address
2214 CANTERBURY DR, SUITE 204, HAYS, KS 67601-2386
(785) 623-2360
(785) 623-2371
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0534830
KS
208000000X
Pediatrics Physician
E-6053
AR
Other
Enumeration date
04/25/2007
Last updated
11/22/2019
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