IndividualActive
Breanna Wicker
NPI 1679340608 · Adult Care Home Facility · Wichita, KS
Provider details
- NPI number
- 1679340608
- Entity type
- Individual
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
406 S Market St
Wichita, KS 67202-3904
Phone: (315) 737-7207
Approximate (ZIP-level) locationGet directions
Mailing address
406 S Market St
Wichita, KS 67202-3904
Registry dates
- Enumerated
- 2023-12-11
- Last updated
- 2023-12-11
- Certified
- 2023-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.