Provider Demographics
NPI:1043027402
Name:LIGGETT, CHERI
Entity type:Individual
Prefix:
First Name:CHERI
Middle Name:
Last Name:LIGGETT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10214 W PRAIRIE WOODS ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67209-3907
Mailing Address - Country:US
Mailing Address - Phone:316-806-9887
Mailing Address - Fax:
Practice Address - Street 1:3715 N CREST CIR
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-1032
Practice Address - Country:US
Practice Address - Phone:316-806-9887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist