Individual
MS. BRITANI L CONGLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4930 OVERLAND DRIVE, LAWRENCE, KS 66049
(785) 856-0708
(785) 856-0709
Mailing address
4930 OVERLAND DRIVE, LAWRENCE, KS 66049
(785) 856-0708
(785) 856-0709
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1501350
KS LICENSE NUMBER
KS
Enumeration date
10/02/2009
Last updated
11/21/2016
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