Thu Kester-Phan
Nurse Practitioner, Family in Wichita, KS. Individual provider (NPI-1).
NPI number1215788674
StatusActive
Last updated in NPPESApr 1, 2024
Details
- NPI
- 1215788674
- Entity type
- Individual (NPI-1)
- Name
- Thu Kester-Phan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 1, 2024
- Certification date
- Apr 1, 2024
- Last updated
- Apr 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 53-83051-092 | KS | Yes |
Practice location
1961 N Founders CirWichita, KS 67206-3548
Phone 316-469-7701
Mailing address
1961 N Founders CirWichita, KS 67206-3548
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