Individual
TYLER JONAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
929 N SAINT FRANCIS AVE, WICHITA, KS 67214-3821
(316) 268-6147
Mailing address
9614 W CHARTWELL ST, WICHITA, KS 67205-1545
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
94-11109
KS
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
06/17/2022
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