Individual provider · Type 1 NPI

Jack Andrew Niederee

Student in an Organized Health Care Education/Training Program · Wichita, KS

NPI number 1407747801 Active

Practice location

7111 E 21st St N
Wichita, KS 67206-1090

Call (316) 684-2851 Map

Mailing address

1010 N Kansas St
Wichita, KS 67214-3124

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1407747801

Jack Andrew Niederee's National Provider Identifier is 1407747801, issued on Jul 14, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wichita, KS. The record was last updated on Jul 14, 2025.