Individual
PATRICIA G MCQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7550 W VILLAGE CIR STE 1, WICHITA, KS 67205-9364
(316) 838-2020
(316) 838-7574
Mailing address
7550 W VILLAGE CIR, STE 1, WICHITA, KS 67205-9364
(316) 838-2020
(316) 838-7574
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1500563
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100353390C
—
KS
Enumeration date
11/18/2005
Last updated
06/19/2020
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