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NPI Code Detail

MEDICARE: MS. ELIZABETH PETERS

MEDICARE: MS. ELIZABETH PETERS
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
1104100000XSocial Worker14712KS

General Provider Information

NPI Number : 1336028778
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELIZABETH PETERS
Provider Business Mailing Address
First Line : 1104 N BITTING AVE
Second Line :
City : WICHITA
State : KS
Zip : 67203-3523
Country : US
Telephone Number : 316-807-0217
Fax Number :
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 :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2025
Last Update Date : 06/10/2026

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Directions to “ MS. ELIZABETH PETERS ” Practice Location

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