MICAH JEANNE VANNOVER

WICHITA, KS
NPI1134407109
Former NameMICAH JEANNE RICHARDSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KS  15-01465)
Enumeration Date2011-07-25
Last Update Date2014-08-06
Business Address
-- MICAH JEANNE VANNOVER PA-C
5500 E KELLOGG DR
WICHITA, KS 67218-1607
Phone number: 316-685-2221
Mailing Address
-- MICAH JEANNE VANNOVER PA-C
5500 E KELLOGG DR
WICHITA, KS 67218-1607
Phone number: 316-685-2221
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