Healthcare Provider Details

I. General information

NPI: 1841118783
Provider Name (Legal Business Name): KAIDYNCE SWEAZY CNM, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 N WEST ST STE 4
WICHITA KS
67203-1347
US

IV. Provider business mailing address

PO BOX 151
WHITEWATER KS
67154-0151
US

V. Phone/Fax

Practice location:
  • Phone: 316-361-6276
  • Fax: 316-368-3155
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number53-85913-072
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: