Kellie Diane Chrisman

NPI #1023770674 in Wichita, Kansas

Provider Information

NPI Number: 1023770674
Entity Type: Individual
Name: Kellie Diane Chrisman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 12, 2021
Last Updated: Oct 12, 2021

Practice Location

Address: 8700 E 29TH ST N
City: Wichita
State: Kansas
ZIP Code: 67226-2169
Phone: (316) 634-8710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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