Individual
KELLY ANKROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
450 N 159TH ST E, WICHITA, KS 67230-7704
(316) 395-3385
Mailing address
351 BROADVIEW ST, EL DORADO, KS 67042-3126
(316) 621-0613
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
05224-T
KS
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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