Individual
KATHLEEN M TANONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1110 SAINT MARYS RD, JUNCTION CITY, KS 66441-4176
(785) 762-2585
Mailing address
1110 SAINT MARYS RD, JUNCTION CITY, KS 66441-4176
(785) 762-2585
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01085
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002308
MEDICARE PTAN
KS
05
—
200390140D
—
KS
Enumeration date
05/24/2006
Last updated
11/06/2025
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