Healthcare Provider Details

I. General information

NPI: 1518875608
Provider Name (Legal Business Name): SARRA EILENE GUTKNECHT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3707 N WOODLAWN BLVD
WICHITA KS
67220-2222
US

IV. Provider business mailing address

3707 N WOODLAWN BLVD
WICHITA KS
67220-2222
US

V. Phone/Fax

Practice location:
  • Phone: 316-691-9134
  • Fax:
Mailing address:
  • Phone: 316-691-9134
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number1-115597
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: