Individual
ASHLEE NICHOLLE PAULS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
200 E. PACK ST., MOUNDRIDGE, KS 67107
(620) 345-6322
Mailing address
200 E. PACK ST., MOUNDRIDGE, KS 67107
(620) 345-6322
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01563
KS
Other
Enumeration date
09/18/2012
Last updated
12/21/2012
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