NPI 1679340608

Breanna Wicker

Practitioner Adult Care Home Facility Wichita, KS

Practice location

Address: 406 S Market St, Wichita, KS 67202-3904
Phone: (315) 737-7207

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Kansas →

Registry record

NPI: 1679340608
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Dec 2023
Record last updated: 11 Dec 2023

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.