KENNETH FRASER

WICHITA, KS
NPI1962060376
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: KS  94-09896)
Enumeration Date2019-05-31
Last Update Date2019-05-31
Business Address
KENNETH FRASER
1010 N KANSAS ST
WICHITA, KS 67214-3124
Phone number: 316-293-2647
Mailing Address
KENNETH FRASER
1010 N KANSAS ST
WICHITA, KS 67214-3124
Phone number: 316-293-2647