SearchKansasStudent in an Organized Health Care Education/Training Program

Mason Miranda

NPI 1295699593 · on the registry since 2025

Practice

Address
1010 N Kansas St
Wichita, KS 67214
Phone
(316) 293-2635
Clinicians at this address
657

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas