Individual
JONAH PRESTON CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3309 N BRUSH CREEK CIR, WICHITA, KS 67205-8718
(316) 721-0720
Mailing address
3309 N BRUSH CREEK CIR, WICHITA, KS 67205-8718
(316) 721-0720
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
3-114960
KS
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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