Emily Beaver

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Wichita, KS

NPI 1548088677 · NPPES record last updated Sep 27, 2024

Key facts

NPI
1548088677
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1010 N Kansas St
Wichita, KS 67214-3124
Phone
(316) 293-2635
NPI assigned
Sep 27, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1010 N Kansas St
Wichita, KS 67214-3124

Mailing address

1010 N Kansas St
Wichita, KS 67214-3124
Phone (316) 293-2635

Other providers in Wichita, KS

All providers in Wichita, KS · Student in an Organized Health Care Education/Training Program in Kansas

Sources for this page

Verify at the official NPI Registry.