Individual
KACI SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1541 N LINDBERG CIR, WICHITA, KS 67206-6400
(316) 358-6400
Mailing address
2 KNOTT CT, HESSTON, KS 67062-9019
(316) 518-5991
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5383521102
KS
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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