Individual
DAVID SIMENTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
527 N GROVE ST, WICHITA, KS 67214-4520
(316) 262-2415
Mailing address
1906 S BRANDON ST, WICHITA, KS 67207-5795
(620) 966-9597
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F06220521
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F06220521
—
KS
Enumeration date
06/11/2022
Last updated
06/11/2022
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