Provider Demographics
NPI:1982325940
Name:MURIITHI, MARY NJERI
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:NJERI
Last Name:MURIITHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8910 E CARSON ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67210-2402
Mailing Address - Country:US
Mailing Address - Phone:316-200-7443
Mailing Address - Fax:
Practice Address - Street 1:8910 E CARSON ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67210-2402
Practice Address - Country:US
Practice Address - Phone:316-200-7443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-08
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS88-1505045Medicaid