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NPI Code Detail

MEDICARE: TARA GALYARDT

MEDICARE: TARA GALYARDT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker05686KS
2104100000XSocial Worker3781KS

General Provider Information

NPI Number : 1255857355
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARA GALYARDT
Provider Business Mailing Address
First Line : 100 S MAIN ST STE 505
Second Line :
City : WICHITA
State : KS
Zip : 67202-3738
Country : US
Telephone Number : 316-688-8390
Fax Number : 316-867-1718
Provider Business Practice Location Address
First Line : 100 S MAIN ST STE 505
Second Line :
City : WICHITA
State : KS
Zip : 67202-3738
Country : US
Telephone Number : 316-688-8390
Fax Number : 316-867-1718
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2017
Last Update Date : 02/05/2026

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Directions to “ TARA GALYARDT ” Practice Location

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