Individual
PHYLLIS ELAINE VAN HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 OAKLANE ST, MCPHERSON, KS 67460-2628
(620) 241-1158
Mailing address
515 OAKLANE ST, MCPHERSON, KS 67460-2628
(620) 241-1158
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
13-45638-091
KS
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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