Individual
MRS. NICOLE LYNN CARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1655 S GEORGETOWN ST, WICHITA, KS 67218-4140
(316) 681-8614
Mailing address
1655 S GEORGETOWN ST, WICHITA, KS 67218-4140
(316) 681-8614
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-03124
KS
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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