Individual
MONDAY T AKINTUYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2828 S IDA ST, WICHITA, KS 67216-1353
(316) 409-7724
Mailing address
2828 S IDA ST, WICHITA, KS 67216-1353
(316) 409-7724
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-103896-012
KS
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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