Individual
MRS. KRESTA L BOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ATC LAT
Contact information
Practice address
2100 W UNIVERSITY AVE, WICHITA, KS 67213-3379
(316) 295-5419
(316) 295-5030
Mailing address
2100 W UNIVERSITY AVE, WICHITA, KS 67213-3379
(316) 295-5419
(316) 295-5030
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00524
—
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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