Individual
JAYDEN AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
900 COUNTRY CLUB LN, EL DORADO, KS 67042-4206
(316) 200-7181
Mailing address
900 COUNTRY CLUB LN, EL DORADO, KS 67042-4206
(316) 200-7181
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02907
KS
Other
Enumeration date
09/21/2023
Last updated
09/20/2024
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