Individual
ELANA BUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 393-2382
Mailing address
1315 S EMPORIA AVE, WICHITA, KS 67211-3213
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
13-102303-111
KS
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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