Individual
KELVIN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9211 E 21ST ST N, WICHITA, KS 67206-2900
(316) 609-4501
Mailing address
1100 N ST FRANCIS ST STE 200, WICHITA, KS 67214-2866
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
1-109871
KS
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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