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Individual

MRS. JOANNA L PATTERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
8338 W 13TH ST N, WICHITA, KS 67212-2900
(316) 729-1030
(316) 729-0268
Mailing address
8338 W 13TH ST N, WICHITA, KS 67212-2900
(316) 729-1030
(316) 729-0268

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00249
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200359910D
KS
05
200359910G
KS
05
20359910A
KS
Enumeration date
02/15/2006
Last updated
07/25/2012
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