Individual
MR. RENAIRE DEAUTRE PALMER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6620 E MURDOCK ST, WICHITA, KS 67206-1554
(316) 393-2196
Mailing address
6620 E MURDOCK ST, WICHITA, KS 67206-1554
(316) 393-2196
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
KS
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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