Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 46204 | KS |
NPI | 1164668810 |
---|---|
Provider Name | Christopher S. Huxman |
First Address | Wichita, KS 67201-7490 |
Second Address | Wichita, KS 67214-4910 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2008 |
Last Update Date | 31/12/2008 |