Individual
JORGE GODINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
929 N SAINT FRANCIS AVE, WICHITA, KS 67214-3821
(316) 268-5757
Mailing address
1829 N MARKET ST, WICHITA, KS 67214-1039
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-03148
KS
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/12/2025
Last updated
11/05/2025
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