Individual
LYNN MARIE SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
212 N 5TH AVE, ANTHONY, KS 67003-2106
(620) 842-5187
Mailing address
307 IRENE AVE, GARDEN PLAIN, KS 67050-9210
(316) 535-1101
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02947
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140971
KS BLUE CROSS BLUE SHIELD
KS
Enumeration date
01/30/2007
Last updated
11/20/2024
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