Individual
KEIKO MUNSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3417 S MERIDIAN AVE, WICHITA, KS 67217-2151
(316) 866-2000
Mailing address
3417 S MERIDIAN AVE, WICHITA, KS 67217-2151
(316) 866-2000
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
78143
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201204450B
—
KS
Enumeration date
07/05/2018
Last updated
11/29/2024
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