Most Relevant Information
Provider Data
| NPI Number: | 1003811399 |
| Provider Name: | NORMAN KEITH TREVOLT ARNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 44097 |
Most Important Dates
| Enumeration Date: | 06/15/2005 |
| Last Updated: | 02/07/2015 |
Provider Practice Location
848 N. ST FRANCIS
STE 3901
WICHITA
KS
672143858
Practice Location Phone/Fax
| Phone: | 3162688500 |
| Fax: | 3162917993 |
Provider Mailing Location
848 N. ST FRANCIS
STE 3901
WICHITA
KS
672143858
Provider Mailing Phone/Fax
| Phone: | 3162688500 |
| Fax: | 3162917993 |