Individual
TERESA ADRIANNE WALTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 558-4968
(316) 651-2958
Mailing address
2110 TERRACE DR, NEWTON, KS 67114-1247
(316) 371-0516
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
13-68501
KS
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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