Individual
SONJA TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCPT
Contact information
Practice address
1407 N PERRY AVE, WICHITA, KS 67203-2944
(316) 205-6321
(316) 235-2443
Mailing address
2151 S FLYNN ST, WICHITA, KS 67207-5201
(316) 227-9491
(316) 235-2443
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
784489
KS
Other
Enumeration date
11/08/2023
Last updated
09/12/2024
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