Individual
BRANDON AHLSTEDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
929 N ST FRANCIS ST, WICHITA, KS 67214-3821
(316) 258-9984
Mailing address
5509 S KANSAS RD, NEWTON, KS 67114-8883
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
09/20/2024
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