Individual
CRISTA BERGOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218
(316) 681-5581
Mailing address
5500 E KELLOGG DR, WICHITA, KS 67218
(316) 681-5581
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
83583
KS
Other
Enumeration date
02/27/2023
Last updated
11/25/2024
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