Cross Allen
Student in an Organized Health Care Education/Training Program in Wichita, KS. Individual provider (NPI-1).
NPI number1063232429
StatusActive
Last updated in NPPESOct 11, 2024
Details
- NPI
- 1063232429
- Entity type
- Individual (NPI-1)
- Name
- Cross Allen
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 11, 2024
- Certification date
- Oct 11, 2024
- Last updated
- Oct 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1010 N Kansas StWichita, KS 67214-3124
Phone 316-293-2635
Mailing address
1010 N Kansas StWichita, KS 67214-3124
Phone 316-293-2635
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