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1144325671
KEVIN T. PETRIE
WICHITA, KS
NPI
1144325671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: KS 5763)
Enumeration Date
2006-09-13
Last Update Date
2007-07-09
Business Address
-- KEVIN T. PETRIE D.D.S.
3455 W 13TH ST N
WICHITA, KS 67203-4500
Phone number: 316-945-0543
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Mailing Address
-- KEVIN T. PETRIE D.D.S.
12126 W HUNTERSVIEW ST
WICHITA, KS 67235-1220
Phone number: 316-721-6989
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