Individual
LINSEY JACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
505 S PLUMMER AVE, CHANUTE, KS 66720
(620) 431-2500
(620) 431-4418
Mailing address
PO BOX 946, CHANUTE, KS 66720-0946
(620) 431-2500
(620) 431-4418
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01817
KS
Other
Enumeration date
08/26/2015
Last updated
05/29/2018
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