Individual
MRS. TONYA JO KASSELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1131 S CLIFTON AVE STE B, WICHITA, KS 67218-2963
(316) 462-1040
(316) 462-1042
Mailing address
1131 S CLIFTON AVE STE B, WICHITA, KS 67218-2963
(316) 462-1040
(316) 462-1042
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
143316
KS
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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