Individual
DR. STEPHEN KYLE BLISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4200 W KELLOGG DR, WICHITA, KS 67209-2269
(316) 942-8253
(316) 942-6730
Mailing address
4200 W KELLOGG DR, WICHITA, KS 67209-2269
(316) 942-8253
(316) 942-6730
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-16552
KS
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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