Individual
CHARISE R OELGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3520 LAKIN AVE, STE 103, GREAT BEND, KS 67530-3660
(620) 792-3345
(620) 792-3767
Mailing address
PO BOX 969, GREAT BEND, KS 67530-0969
(620) 786-6475
(620) 786-6155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1500925
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200000640D
—
KS
Enumeration date
01/24/2006
Last updated
08/01/2013
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