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Individual

JENNIFER KATHLEEN FRIESEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
2221 BUCKSKIN RD, MOUNDRIDGE, KS 67107-7415
(719) 238-1394

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
E2059637
TX
163W00000X
Registered Nurse
Primary
RN.903464
TX
164W00000X
Licensed Practical Nurse
PN.0330843
TX

Other

Enumeration date
10/31/2017
Last updated
05/20/2019
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