Individual
MELISSA DECKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2185 N RIVERSIDE BLVD, WICHITA, KS 67203-2355
(316) 613-9448
Mailing address
2185 N RIVERSIDE BLVD, WICHITA, KS 67203-2355
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
130147
KS
163WM0705X
Medical-Surgical Registered Nurse
130147
KS
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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