Individual
SHANA K THONGPHALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1151 N ROCK RD, WICHITA, KS 67206-1262
(316) 777-7077
Mailing address
1908 S STEPHANIE ST, WICHITA, KS 67207-1108
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
13-126239
KS
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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