Individual
SONNY NOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
1114 S BRACKEN CIR, WICHITA, KS 67207-7034
(316) 214-3749
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
13-150062032
KS
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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