Individual
WICHULEE SEMACHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
500 LIMIT ST, LEAVENWORTH, KS 66048-4435
(913) 682-5118
Mailing address
500 LIMIT STREET, LEAVENWORTH, KS 66048
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2017010119
MO
363LF0000X
Family Nurse Practitioner
Primary
53-77364-111
KS
Other
Enumeration date
04/10/2017
Last updated
03/17/2018
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