NPI 1457170938
Dade Ronan, MMIS
Practice location
- Address
- 3737 W Douglas Ave, Wichita, KS 67213-2407
- Phone
- (316) 941-9948
Registered specialties (2)
Peer Specialist
Primary
Pastoral Counselor
Registry record
- NPI
- 1457170938
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Oct 2024
- Record last updated
- 10 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.