KEVIN T. PETRIE

WICHITA, KS
NPI1144325671
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KS  5763)
Enumeration Date2006-09-13
Last Update Date2007-07-09
Business Address
-- KEVIN T. PETRIE D.D.S.
3455 W 13TH ST N
WICHITA, KS 67203-4500
Phone number: 316-945-0543
Mailing Address
-- KEVIN T. PETRIE D.D.S.
12126 W HUNTERSVIEW ST
WICHITA, KS 67235-1220
Phone number: 316-721-6989