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Jordan Stanton
NPI 1891124194 · on the registry since 2013 · sole proprietor
Practice
- Address
- 777 N Mclean Blvd
Wichita, KS 67203 - Phone
- (877) 498-6452
- Organisation at this address
- Via Christi Village Mclean, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- KS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-11-06
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