Search › Kansas › 163WC0200X
Jeffery Jack, RN
NPI 1295568509 · on the registry since 2024
Practice
- Address
- 5500 W Kellogg Dr
Wichita, KS 67209 - Phone
- (316) 685-2221
- Fax
- (316) 681-5599
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 163WC0200X
163WC0200X
- Also registered as
- 163WP2201X
- Licence states on file
- KS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-22
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