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NPI Code Detail

MEDICARE: YESENIA MALDONADO

MEDICARE: YESENIA MALDONADO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker14300KS

General Provider Information

NPI Number : 1407736804
Entity Type Code : Individual
Provider Name (Legal Business Name) : YESENIA MALDONADO
Provider Business Mailing Address
First Line : 3820 N TOBEN ST
Second Line :
City : WICHITA
State : KS
Zip : 67226-2903
Country : US
Telephone Number : 316-283-6743
Fax Number : 316-283-6830
Provider Business Practice Location Address
First Line : 3820 N TOBEN ST
Second Line :
City : WICHITA
State : KS
Zip : 67226-2903
Country : US
Telephone Number : 316-283-6743
Fax Number : 316-283-6830
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2025
Last Update Date : 09/05/2025

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Directions to “ YESENIA MALDONADO ” Practice Location

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