Individual
JAMES QUINTON BONNESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13716 E MAINSGATE STREET, WICHITA, KS 67228-8049
(801) 358-3420
Mailing address
13716 E MAINSGATE ST, WICHITA, KS 67228-8049
(801) 358-3420
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R097997
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
557425
KS
Other
Enumeration date
04/08/2016
Last updated
02/21/2017
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