Wichita State University

NPI #1336427582 in Wichita, Kansas

Provider Information

NPI Number: 1336427582
Entity Type: Organization
Organization Name: Wichita State University
Subpart: Yes (part of a larger organization)
Parent Organization: WICHITA STATE UNIVERSITY
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 21, 2011
Last Updated: Jul 21, 2011

Practice Location

Address: 2838 N. OLIVER
City: Wichita
State: Kansas
ZIP Code: 67220-0157
Phone: (316) 978-5662

Authorized Official

Name: MRS. JO DENISE CLEPPER, RN
Title: PRACTICE ADMINISTRATOR
Phone: (316) 978-5662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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