Individual
UNNATI BASNYAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
315 W 15TH ST, LIBERAL, KS 67901-2455
(620) 629-6477
(620) 629-6651
Mailing address
PO BOX 1215, LIBERAL, KS 67905-1215
(620) 629-6477
(620) 629-6651
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1502037
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1502037
STATE LICENSE
KS
Enumeration date
10/11/2017
Last updated
10/11/2017
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