Individual
COLLIN CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1603 W 4TH ST, HOLTON, KS 66436-1153
(785) 364-3205
(785) 364-3468
Mailing address
1010 N KANSAS ST, WICHITA, KS 67214-3124
(316) 293-2665
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0449543
KS
207Q00000X
Family Medicine Physician
94-10492
KS
Other
Enumeration date
05/18/2021
Last updated
08/15/2024
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