Healthcare Provider Details

I. General information

NPI: 1932038833
Provider Name (Legal Business Name): CAITLIN SAVAGE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2026
Last Update Date: 05/16/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12330 E 21ST ST N STE C
WICHITA KS
67206-3572
US

IV. Provider business mailing address

35727 W 55TH ST S
CHENEY KS
67025-9183
US

V. Phone/Fax

Practice location:
  • Phone: 316-234-2210
  • Fax:
Mailing address:
  • Phone: 316-641-5023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF05260292
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: