Individual
NICHOLE GANOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2214 CANTERBURY DR, HAYS, KS 67601-2386
(785) 261-7452
Mailing address
2214 CANTERBURY DR, HAYS, KS 67601-2386
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01182
KS
Other
Enumeration date
07/05/2007
Last updated
12/12/2012
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