Individual
SUMMAR ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 S. SANTE FE AVE, SALINA, KS 67401
(785) 452-6554
Mailing address
2324 LINDEN DR, SALINA, KS 67401-6961
(785) 443-2651
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
124368
KS
363LF0000X
Family Nurse Practitioner
Primary
79491
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124368
KSBN
KS
Enumeration date
02/05/2020
Last updated
10/29/2020
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