Individual
MRS. BRANDI JO SNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7550 WEST VILLAGE CIRCLE, STE. 1, WICHITA, KS 67205
(316) 838-2020
(316) 838-7574
Mailing address
7550 WEST VILLAGE CIRCLE, STE. 1, WICHITA, KS 67205
(316) 838-2020
(316) 838-7574
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
T-04064
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201108800A
—
KS
Enumeration date
09/03/2014
Last updated
04/30/2018
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