Individual
MRS. LACEY ALISON KLIEWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2535 E LINCOLN ST, WICHITA, KS 67211-3821
(316) 687-9794
Mailing address
753 N WEST ST, WICHITA, KS 67203-1240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-75740-051
KS
Other
Enumeration date
06/07/2013
Last updated
12/03/2018
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