Healthcare Provider Details

I. General information

NPI: 1336888130
Provider Name (Legal Business Name): RACHEL SUZANNE KIRMER APRN-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL SUZANNE WALTER

II. Dates (important events)

Enumeration Date: 05/31/2022
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2051 E MARY ST
GARDEN CITY KS
67846-3617
US

IV. Provider business mailing address

9300 E 29TH ST N STE 310
WICHITA KS
67226-2160
US

V. Phone/Fax

Practice location:
  • Phone: 620-277-9092
  • Fax: 620-315-4114
Mailing address:
  • Phone: 316-612-1833
  • Fax: 316-612-2420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-81206
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: