Individual
JASON WESLEY NUGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
855 N HILLSIDE ST, WICHITA, KS 67214-4913
(316) 685-1381
(316) 866-2495
Mailing address
855 N HILLSIDE ST, WICHITA, KS 67214-4913
(316) 685-1381
(316) 866-2495
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7114
KS
Other
Enumeration date
11/21/2008
Last updated
02/01/2012
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