Individual
MRS. MARIE ELAINE MCENTEE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
RR 2 BOX 38, 211 EAST EARL ST, LEOTI, KS 67861-9504
(620) 375-2233
(620) 375-2646
Mailing address
RR 2 BOX 38, 211 EAST EARL ST, LEOTI, KS 67861-9504
(620) 375-2233
(620) 375-2646
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15 00816
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042782
BC BS
KS
Enumeration date
11/04/2005
Last updated
07/08/2007
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