Michelle Soukup

NPI #1508544925 in Wichita, Kansas

Provider Information

NPI Number: 1508544925
Entity Type: Individual
Name: Michelle Soukup
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jul 6, 2023
Last Updated: Jul 6, 2023

Practice Location

Address: 5500 E KELLOGG DR
City: Wichita
State: Kansas
ZIP Code: 67218-1607
Phone: (316) 685-2221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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