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Individual

KENDELL DWAYNE VARNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
617 LIBERTY ST, CLAY CENTER, KS 67432-1564
(785) 632-2144
Mailing address
1753 10TH RD, CLAY CENTER, KS 67432-7241
(479) 936-1700

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15-02169
KS
363A00000X
Physician Assistant
Primary
PA-859
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1158140
NCCPA
Enumeration date
11/19/2018
Last updated
02/06/2023
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