Individual
ABIGAIL E REINHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1010 N KANSAS ST, WICHITA, KS 67214-3124
(316) 293-2611
(316) 293-1882
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9667
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-75622-051
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003719250
MEDICARE
—
05
—
200877700C
—
KS
05
—
30004325170001
—
KS
Enumeration date
04/02/2012
Last updated
06/19/2023
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