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Individual

MICHELLE KAY REDDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPA-C

Contact information

Practice address
3600 E HARRY ST, WICHITA, KS 67218-3713
(316) 858-0333
(316) 858-0596
Mailing address
3600 E HARRY ST, WICHITA, KS 67218-3713
(316) 858-0333
(316) 858-0596

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-00592
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100098120A
KS
05
100360770B
KS
Enumeration date
07/06/2006
Last updated
12/16/2019
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