Individual
MS. KATHY CARLA NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
551 N HILLSIDE ST STE 410, WICHITA, KS 67214-4927
(316) 686-5300
(316) 686-5300
Mailing address
3535 N WEBB RD, WICHITA, KS 67226-8127
(316) 686-5300
(316) 651-2660
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-01308
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200613360E
—
KS
01
—
KA3651020
MEDICARE
KS
Enumeration date
01/08/2009
Last updated
01/16/2019
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