Wichita State University

NPI 1003225947 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1003225947
Enumeration Date 08/05/2014
Last Updated 08/05/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JASON DOUGLAS JASON
Position PSYCHOLOGY INTERN
Phone (502) 821-7904
Fax
Practice Location
1845 FAIRMOUNT BOX 91
WICHITA KS, 67260-0091, US
Phone (502) 821-7904
Fax
Business Location
1845 FAIRMOUNT BOX 91
WICHITA KS, 67260-0091, US
Phone (502) 821-7904
Fax
Toxanomy
Taxonomy Code 251S00000X
License State Kentucky
License Number 0914
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According to our database, Wichita State University NPI is 1003225947, taxonomy code is 251S00000X and license number is 0914, license state is located at Kentucky. Wichita State University physically located at 1845 Fairmount Box 91, Wichita KS, 67260-0091. NPI Number 1033115704 has the healthcare provider type.

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1003225947 NPI number is provided on an as is basis without warranty of any kind. 1003225947 is maintained by the National Plan & Provider Enumeration System. The contents of Wichita State University are for informational purposes only.