Individual
RYAN PATRICK PREBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 E HARRY ST, WICHITA, KS 67218-3713
(316) 268-5000
Mailing address
10111 E 21ST ST N STE 106, WICHITA, KS 67206-3555
(316) 351-7687
(316) 440-6084
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
78028
KS
Other
Enumeration date
01/20/2018
Last updated
01/22/2019
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