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Individual

CHERYL A WOODARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(800) 374-5326
Mailing address
PO BOX 2897, WICHITA, KS 67201-2897
(800) 374-5326

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1392973091
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
556900
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200623670A
KS
01
P00795826
RR MEDICARE GROUP CQ2302
KS
Enumeration date
06/10/2009
Last updated
02/17/2025
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