Individual
MEGEN MALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
100 LAKEMARY DR, PAOLA, KS 66071-1855
(913) 557-4000
Mailing address
32198 VALLEY VIEW DR, PAOLA, KS 66071-4848
(913) 645-8326
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-79056-102
KS
Other
Enumeration date
10/14/2019
Last updated
09/14/2020
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