Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | 5374964041 | KS |
NPI | 1457682296 |
---|---|
Provider Name | Mrs. Sheila Kay Kocher |
First Address | Wichita, KS 67214-2249 |
Second Address | Wichita, KS 67214-2249 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2010 |
Last Update Date | 24/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100321990D | (05) | KS |