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Individual

JENNY M. CLINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A. - C.

Contact information

Practice address
10202 W 13TH ST N, WICHITA, KS 67212-4377
(316) 729-9100
(316) 729-9185
Mailing address
10202 W 13TH ST N, WICHITA, KS 67212-4377
(316) 729-9100
(316) 729-9185

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1500706
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100355900B
KS
Enumeration date
08/20/2006
Last updated
09/13/2018
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