Individual
KRISTA M CLENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 274-8107
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 274-8107
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-79678
KS
Other
Enumeration date
08/16/2021
Last updated
03/20/2025
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