Organization
WELLNESS 41, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY BARNICKLE APRN (OWNER/APRN)
(620) 727-7831
Entity
Organization
Contact information
Practice address
10209 W CENTRAL AVE STE 1, WICHITA, KS 67212-4685
(620) 727-7831
(316) 330-5507
Mailing address
12114 W JEWELL ST, WICHITA, KS 67235-4104
(620) 727-7831
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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