Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 38804 | KS |
NPI | 1861623985 |
---|---|
Provider Name | Elizabeth Carolina Beltran Carranza |
First Address | Wichita, KS 67230-6915 |
Second Address | Wichita, KS 67214-3124 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2009 |
Last Update Date | 18/01/2022 |