Individual
STACI ANN VESTRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 684-2221
Mailing address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
11403
KS
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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