Healthcare Provider Details

I. General information

NPI: 1447161708
Provider Name (Legal Business Name): CHRISTY L MAY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 E KELLOGG DR
WICHITA KS
67218-1607
US

IV. Provider business mailing address

5500 E KELLOGG DR
WICHITA KS
67218-1607
US

V. Phone/Fax

Practice location:
  • Phone: 620-225-7146
  • Fax: 316-469-0805
Mailing address:
  • Phone: 620-225-7146
  • Fax: 316-469-0805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number13-78646-031
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: