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Jonathan Andrew Liu

Student in an Organized Health Care Education/Training Program in Wichita, KS. Individual provider (NPI-1).

NPI number1194557504
StatusActive
Last updated in NPPESMay 2, 2025

Details

NPI
1194557504
Entity type
Individual (NPI-1)
Name
Jonathan Andrew Liu
Sex
Male
Sole proprietor
No
Enumeration date
Aug 14, 2024
Certification date
May 2, 2025
Last updated
May 2, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1010 N Kansas St
Wichita, KS 67214-3124

Phone 316-293-2635

Mailing address

1010 N Kansas St
Wichita, KS 67214-3124

Phone 316-293-2635

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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