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Individual

MS. KATHRYN S. WOLFE-WAPPELHORST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2750 S ROOSEVELT ST, HUNTER HEALTH BROOKSIDE CLINIC, WICHITA, KS 67210-1304
(316) 652-0152
(316) 652-0928
Mailing address
940 S. ST. FRANCIS, WICHITA, KS 67211
(316) 264-8974
(316) 262-4938

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-00496
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
042387
BCBS
KS
05
100212200B
KS
01
12032897
CAQH
KS
01
6973
PREFERRED HEALTH SYSTEMS
KS
01
926677
FIRSTGUARD
KS
Enumeration date
09/22/2006
Last updated
10/30/2013
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