Individual
KELLEY RENEE EWERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1947 N FOUNDERS CIR, WICHITA, KS 67206-3548
(316) 613-5380
Mailing address
1234 W 33RD ST N, WICHITA, KS 67204-4227
(316) 617-9382
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-03145
KS
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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