| Jennifer Gennaro Prokopchik | |
|
1999 N Amidon Ave Wichita KS 67203-2121 | |
| (720) 316-8110 | |
| Not Available |
| Full Name | Jennifer Gennaro Prokopchik |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1999 N Amidon Ave, Wichita, Kansas |
| Authorized Official Name and Position | Jennifer Ashley Gennaro (OWNER) |
| Authorized Official Contact | 7203168110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Gennaro Prokopchik 1999 N Amidon Ave Wichita KS 67203-2121 Ph: () - | Jennifer Gennaro Prokopchik 1999 N Amidon Ave Wichita KS 67203-2121 Ph: (720) 316-8110 |
| NPI Number | 1295564060 |
|---|---|
| Provider Enumeration Date | 07/30/2024 |
| Last Update Date | 07/30/2024 |
| Certification Date | 07/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295564060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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