Individual
KATHERINE A HAVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SRNA
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 685-6112
Mailing address
3450 N ROCK RD STE 208, WICHITA, KS 67226-1352
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
13-95538-061
KS
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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