Dwyer, Vicki L

Dwyer, Vicki L is an individual health care provider with primary practice located at 2600 N Woodlawn St , Wichita KS 67220-2729. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Dwyer, Vicki L can be contacted via phone (316) 684-3838.

Contact Information

Primary practice address
2600 N Woodlawn St Wichita KS 67220-2729
Phone: (316) 684-3838
Fax: (316) 858-2521
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 74790 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 364SP0200X 74790 Kansas

Profile Details

NPI number 1043290729
LBN Legal business name Dwyer, Vicki L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Feb 10th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043290729 NPPES
Kansas MEDICAID 100642350B
Kansas MEDICAID 100642350A

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