Individual
MR. RICHARD JOE RANGEL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
(316) 634-3075
Mailing address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
(316) 634-3075
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11075
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11075
KANSAS BSRB
KS
Enumeration date
01/11/2018
Last updated
08/18/2020
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