Individual
MS. MEGAN THERESA POELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3715 N OLIVER ST, WICHITA, KS 67220-3404
(316) 942-4519
(316) 942-4655
Mailing address
3715 N OLIVER ST, WICHITA, KS 67220-3404
(316) 942-4519
(316) 942-4655
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-113980
KS
363L00000X
Nurse Practitioner
Primary
53-78592
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
KS
Enumeration date
01/04/2019
Last updated
07/28/2022
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